BRIAN MATTHEW WEATHERFORD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054441

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

MATTHEW

Last Name

WEATHERFORD

Business Name

BRIAN MATTHEW WEATHERFORD MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

03/03/2011