PETER D WEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

PETER D

Last Name

WEISS

Suffix

Business Name

PETER D WEISS MD

Original Issue Date

01/22/1992

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014