MARK E WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

WEAVER

Suffix

Business Name

MARK E WEAVER MD

Original Issue Date

08/13/1981

Effective Date

08/13/1981

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020