RICHARD ALAN WEAVER DO - Medical Doctor License in Connecticut | # 036143110

RICHARD ALAN WEAVER DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143110

License Status

NOT RENEWED

Business

N

Title

DO

First Name

RICHARD

Middle

ALAN

Last Name

WEAVER

Business Name

RICHARD ALAN WEAVER DO

Original Issue Date

05/01/2017

Effective Date

05/01/2017

Expiration Date

09/30/2020

State

CT

Ever Disciplined

N

LastModifiedDate

01/14/2021