JARED BLAKE WEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160070

License Status

NOT RENEWED

Business

Title

First Name

JARED

Middle

BLAKE

Last Name

WEISS

Business Name

JARED BLAKE WEISS MD

Original Issue Date

04/02/2022

Effective Date

04/02/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023