SHARON R WEAVER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

SHARON

Middle

Last Name

WEAVER

Business Name

SHARON R WEAVER

Original Issue Date

06/20/1988

Effective Date

04/20/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023