JASON ROBERT WEISS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045901

License Status

EXPIRED

Business

First Name

JASON

Middle

ROBERT

Last Name

WEISS

Suffix

Business Name

JASON ROBERT WEISS DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006