DAVID EUGENE WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040876

License Status

NOT RENEWED

Business

First Name

DAVID EUGENE

Last Name

WEAVER

Suffix

Business Name

DAVID EUGENE WEAVER MD

Original Issue Date

11/28/1966

Effective Date

11/28/1966

Expiration Date

07/31/2002

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006