BERTRAM MAURICE WEISENBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

BERTRAM MAURICE

Last Name

WEISENBERG

Suffix

DDS

Business Name

BERTRAM MAURICE WEISENBERG DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005