DOUGLAS LEE WATERS
License Number: PA9106355
Data As Of 6/30/2024
| Profession | Physician Assistant |
|---|---|
| License | PA9106355 |
| License Status | CLEAR/Active |
| Qualifications | Prescribing |
| License Expiration Date | 1/31/2026 |
| License Original Issue Date | 12/01/2011 |
| Address of Record | 2001 KINGSLEY AVE |
| ORANGE PARK, FL 32073 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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