DAVID GORDON WEEGAR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

DAVID

Middle

GORDON

Last Name

WEEGAR

Business Name

DAVID GORDON WEEGAR

Original Issue Date

08/10/2021

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026