GARY E WATERS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078806

License Status

INACTIVE

Business

First Name

GARY E

Last Name

WATERS

Suffix

Business Name

GARY E WATERS MD

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

07/31/2005

City

MADISON

State

Zip

53703

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006