DAVID EVERETT WEIL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

EVERETT

Last Name

WEIL

Business Name

DAVID EVERETT WEIL

Original Issue Date

10/05/2009

Effective Date

02/04/2010

Expiration Date

03/01/2012

City

INDIAN TRAIL

State

Zip

28079

County

UNION

Ever Disciplined

LastModifiedDate

11/20/2015