JOSHUA WEAVER REAGLE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051594

License Status

CANCELLED

Business

First Name

JOSHUA

Middle

WEAVER

Last Name

REAGLE

Suffix

Business Name

JOSHUA WEAVER REAGLE DO

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/29/2009