JEFFREY GRANT WEYENETH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

GRANT

Last Name

WEYENETH

Suffix

Business Name

JEFFREY GRANT WEYENETH MD

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006