GREGORY R WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066105

License Status

NOT RENEWED

Business

First Name

GREGORY R

Last Name

WEAVER

Suffix

Business Name

GREGORY R WEAVER MD

Original Issue Date

02/22/1983

Effective Date

02/22/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2014