MIA CHANA WEISS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065794

License Status

CANCELLED

Business

Title

First Name

MIA

Middle

CHANA

Last Name

WEISS

Business Name

MIA CHANA WEISS MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2014