EDWARD S WEISS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043458

License Status

INACTIVE

Business

First Name

EDWARD S

Last Name

WEISS

Suffix

Business Name

EDWARD S WEISS MD

Original Issue Date

06/30/1970

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/12/2017