JUDITH K WEIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028387

License Status

EXPIRED

Business

First Name

JUDITH K

Last Name

WEIS

Suffix

Business Name

JUDITH K WEIS MD

Original Issue Date

05/28/1992

Effective Date

05/28/1992

Expiration Date

06/30/1995

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006