TODD MICHAEL WEISS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043987

License Status

EXPIRED

Business

First Name

TODD

Middle

MICHAEL

Last Name

WEISS

Suffix

Business Name

TODD MICHAEL WEISS MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

07/31/2008