THOMAS DEWEY WEYBURN JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034662

License Status

EXPIRED

Business

First Name

THOMAS

Middle

DEWEY

Last Name

WEYBURN

Suffix

JR DO

Business Name

THOMAS DEWEY WEYBURN JR DO

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006