MALLORY COLLINS WEAVER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

MALLORY

Middle

COLLINS

Last Name

WEAVER

Business Name

MALLORY COLLINS WEAVER DO

Original Issue Date

03/19/2026

Effective Date

03/19/2026

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2026