MARK JEFFREY WEISENBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015015

License Status

NOT RENEWED

Business

First Name

MARK JEFFREY

Last Name

WEISENBERG

Suffix

DDS

Business Name

MARK JEFFREY WEISENBERG DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

Expiration Date

04/01/1976

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005