VASANTA P WEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110557

License Status

NOT RENEWED

Business

First Name

VASANTA

Middle

Last Name

WEISS

Suffix

Business Name

VASANTA P WEISS MD

Original Issue Date

12/08/2003

Effective Date

12/08/2003

Expiration Date

07/31/2005

City

DALLAS

State

Zip

75244

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006