VIVIAN JOY WEATHERS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030740

License Status

EXPIRED

Business

First Name

VIVIAN JOY

Last Name

WEATHERS

Business Name

VIVIAN JOY WEATHERS

Original Issue Date

08/27/1993

Effective Date

08/27/1993

Expiration Date

08/26/1996

City

MAYWOOD

State

Zip

61053

County

CARROLL

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006