ADAM MATTHEW WEAVER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

MATTHEW

Last Name

WEAVER

Business Name

ADAM MATTHEW WEAVER

Original Issue Date

10/22/2010

Effective Date

02/24/2022

Expiration Date

03/01/2024

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025