BARRY C WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078523

License Status

NOT RENEWED

Business

First Name

BARRY C

Last Name

WEAVER

Suffix

Business Name

BARRY C WEAVER MD

Original Issue Date

03/04/1989

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/30/2023