TERI DAWN WEIR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

NOT RENEWED

Business

First Name

TERI

Middle

DAWN

Last Name

WEIR

Business Name

TERI DAWN WEIR

Original Issue Date

10/06/2005

Effective Date

02/19/2014

Expiration Date

03/01/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/03/2016