MARK JUSTIN WEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049274

License Status

NOT RENEWED

Business

First Name

MARK JUSTIN

Last Name

WEISS

Suffix

Business Name

MARK JUSTIN WEISS MD

Original Issue Date

06/03/1974

Effective Date

06/03/1974

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006