JUSTIN BENEDICT WEINER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122844

License Status

INACTIVE

Business

First Name

JUSTIN

Middle

BENEDICT

Last Name

WEINER

Suffix

Business Name

JUSTIN BENEDICT WEINER MD

Original Issue Date

03/16/2009

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014