MARK DOUGLAS WEIGEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

MARK DOUGLAS

Last Name

WEIGEL

Business Name

MARK DOUGLAS WEIGEL

Original Issue Date

04/22/1987

Effective Date

04/22/1987

Expiration Date

09/30/1990

City

SCHAUMBURG

State

Zip

60193

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005