GREGORY SCOTT WEATHERFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100238

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

SCOTT

Last Name

WEATHERFORD

Suffix

Business Name

GREGORY SCOTT WEATHERFORD MD

Original Issue Date

05/20/1999

Effective Date

05/20/1999

Expiration Date

07/31/2002

City

GLENARM

State

Zip

62536

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006