WILLIAM D WEAVER JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020093

License Status

EXPIRED

Business

First Name

WILLIAM

Middle

Last Name

WEAVER

Suffix

JR DO

Business Name

WILLIAM D WEAVER JR DO

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006