MALLORY COLLINS WEAVER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036179363

License Status

ACTIVE

Business

Title

First Name

MALLORY

Middle

COLLINS

Last Name

WEAVER

Business Name

MALLORY COLLINS WEAVER DO

Original Issue Date

03/19/2026

Effective Date

03/19/2026

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

03/19/2026