DAVID EUGENE WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

DAVID EUGENE

Last Name

WEAVER

Suffix

Business Name

DAVID EUGENE WEAVER MD

Original Issue Date

07/28/1999

Effective Date

07/28/1999

Expiration Date

07/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006