BILLY J WEIDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049322

License Status

NOT RENEWED

Business

First Name

BILLY J

Last Name

WEIDA

Suffix

Business Name

BILLY J WEIDA MD

Original Issue Date

06/17/1974

Effective Date

06/17/1974

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006