A CHARLOTTA WEAVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119655

License Status

ACTIVE

Business

First Name

Middle

CHARLOTTA

Last Name

WEAVER

Suffix

Business Name

A CHARLOTTA WEAVER MD

Original Issue Date

11/05/2007

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023