IRVING JOSEPH WEIGENSBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

IRVING

Middle

JOSEPH

Last Name

WEIGENSBERG

Suffix

Business Name

IRVING JOSEPH WEIGENSBERG MD

Original Issue Date

07/06/2001

Effective Date

07/06/2001

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006