ROBERT WILLIAM WEGNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048645

License Status

EXPIRED

Business

First Name

ROBERT

Middle

WILLIAM

Last Name

WEGNER

Suffix

Business Name

ROBERT WILLIAM WEGNER MD

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

06/28/2007

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/03/2007