SAM WEIR AXTELL DO - Medical Doctor License in Illinois | # 036038191

SAM WEIR AXTELL DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038191

License Status

NOT RENEWED

Business

N

First Name

SAM WEIR

Last Name

AXTELL

Suffix

DO

Business Name

SAM WEIR AXTELL DO

Original Issue Date

11/29/1962

Effective Date

11/29/1962

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006