ASHLEY NICOLE WEIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062163

License Status

EXPIRED

Business

Title

First Name

ASHLEY

Middle

NICOLE

Last Name

WEIS

Business Name

ASHLEY NICOLE WEIS DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

09/04/2015