MERVYN JAY WEIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040513

License Status

INACTIVE

Business

First Name

MERVYN

Middle

JAY

Last Name

WEIS

Suffix

Business Name

MERVYN JAY WEIS MD

Original Issue Date

07/05/1966

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

TUCSON

State

Zip

85718

Ever Disciplined

LastModifiedDate

07/15/2014