EDWARD S WEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

EDWARD S

Last Name

WEISS

Suffix

Business Name

EDWARD S WEISS MD

Original Issue Date

06/29/2001

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017