LEROY WEATHERSBY II Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

LEROY

Last Name

WEATHERSBY II

Business Name

LEROY WEATHERSBY II

Original Issue Date

03/30/1983

Effective Date

01/30/2022

Expiration Date

09/30/2024

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025