DAVID S WEISS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072837

License Status

INACTIVE

Business

First Name

DAVID S

Last Name

WEISS

Suffix

Business Name

DAVID S WEISS MD

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006