BROCKTON L WEISENBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067786

License Status

NOT RENEWED

Business

First Name

BROCKTON L

Last Name

WEISENBERGER

Suffix

Business Name

BROCKTON L WEISENBERGER MD

Original Issue Date

10/13/1983

Effective Date

10/13/1983

Expiration Date

07/31/1996

City

LAKE FORREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006