RANDY B WEISS DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057015

License Status

INACTIVE

Business

First Name

RANDY B

Last Name

WEISS

Suffix

Business Name

RANDY B WEISS DO

Original Issue Date

07/12/1978

Effective Date

07/12/1978

Expiration Date

07/31/1987

City

JOPLIN

State

Zip

64803

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006