STEPHEN FREDERIC WEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

STEPHEN FREDERIC

Last Name

WEISS

Suffix

Business Name

STEPHEN FREDERIC WEISS MD

Original Issue Date

01/01/1997

Effective Date

07/22/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020