GALEN A WEISS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117981

License Status

NOT RENEWED

Business

First Name

GALEN

Middle

Last Name

WEISS

Business Name

GALEN A WEISS

Original Issue Date

03/30/2007

Effective Date

05/29/2008

Expiration Date

07/31/2011

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2011