FRED SCOTT WEINER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

FRED SCOTT

Last Name

WEINER

Suffix

DDS

Business Name

FRED SCOTT WEINER DDS

Original Issue Date

11/16/1981

Effective Date

11/16/1981

Expiration Date

09/30/2004

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005