RICHARD ALAN WEAVER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143110

License Status

NOT RENEWED

Business

Title

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

City

NORTH HAVEN

State

Zip

06473

Ever Disciplined

LastModifiedDate

01/14/2021