ADAM MATTHEW WEAVER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003865

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

MATTHEW

Last Name

WEAVER

Business Name

ADAM MATTHEW WEAVER

Original Issue Date

09/15/2010

Effective Date

02/24/2022

Expiration Date

03/01/2024

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

02/05/2025