TERI DAWN WEIR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002541

License Status

NOT RENEWED

Business

First Name

TERI

Middle

DAWN

Last Name

WEIR

Business Name

TERI DAWN WEIR

Original Issue Date

08/17/2005

Effective Date

03/04/2016

Expiration Date

03/01/2018

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2018