NATHAN HOFFMAN WEIRES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

HOFFMAN

Last Name

WEIRES

Business Name

NATHAN HOFFMAN WEIRES

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005