MICHAEL DAVID WEISS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

MICHAEL DAVID

Last Name

WEISS

Business Name

MICHAEL DAVID WEISS

Original Issue Date

04/28/1983

Effective Date

04/28/1983

Expiration Date

01/31/2003

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006