BRIAN W WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

WEAVER

Suffix

Business Name

BRIAN W WEAVER MD

Original Issue Date

09/10/1992

Effective Date

09/10/1992

Expiration Date

07/31/2002

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006