BRIAN MICHAEL WEGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130065

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

MICHAEL

Last Name

WEGMAN

Business Name

BRIAN MICHAEL WEGMAN MD

Original Issue Date

04/12/2012

Effective Date

04/12/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014