ROBERT EDWARD WEITZEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060310

License Status

CANCELLED

Business

Title

First Name

ROBERT

Middle

EDWARD

Last Name

WEITZEL

Business Name

ROBERT EDWARD WEITZEL MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014