AVI CHAIM WEISS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050007

License Status

EXPIRED

Business

First Name

AVI

Middle

CHAIM

Last Name

WEISS

Suffix

Business Name

AVI CHAIM WEISS MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/26/2008