JUDITH K WEIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

JUDITH K

Last Name

WEIS

Suffix

Business Name

JUDITH K WEIS MD

Original Issue Date

08/30/1994

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023