GREGORY MICHAEL WEISS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

MICHAEL

Last Name

WEISS

Business Name

GREGORY MICHAEL WEISS MD

Original Issue Date

04/22/2022

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023