GLENN A WEISS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025109

License Status

EXPIRED

Business

First Name

GLENN A

Last Name

WEISS

Suffix

Business Name

GLENN A WEISS MD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1993

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006