POLLY J WATSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108432

License Status

NOT RENEWED

Business

First Name

POLLY

Middle

Last Name

WATSON

Business Name

POLLY J WATSON

Original Issue Date

01/14/2003

Effective Date

01/14/2003

Expiration Date

07/31/2005

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006