SUSAN T WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081057

License Status

NOT RENEWED

Business

First Name

SUSAN T

Last Name

WEAVER

Suffix

Business Name

SUSAN T WEAVER MD

Original Issue Date

07/18/1990

Effective Date

07/18/1990

Expiration Date

07/31/1993

City

BOSTON

State

Zip

02116

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006