DAVID EVERETT WEIL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003574

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

EVERETT

Last Name

WEIL

Business Name

DAVID EVERETT WEIL

Original Issue Date

09/11/2009

Effective Date

02/04/2010

Expiration Date

03/01/2012

City

INDIAN TRAIL

State

Zip

28079

County

UNION

Ever Disciplined

LastModifiedDate

11/20/2015