REBECCA J WEIGHTMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001848

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

WEIGHTMAN

Suffix

DMD

Business Name

REBECCA J WEIGHTMAN DMD

Original Issue Date

07/02/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

01/07/2016