LORREN J WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068310

License Status

NOT RENEWED

Business

First Name

LORREN

Middle

Last Name

WEAVER

Suffix

Business Name

LORREN J WEAVER MD

Original Issue Date

03/02/1984

Effective Date

03/02/1984

Expiration Date

07/31/1987

City

SAINT LOUIS

State

Zip

63121

Ever Disciplined

LastModifiedDate

01/31/2011