DOUGLAS MARK WEBER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056620

License Status

CANCELLED

Business

Title

First Name

DOUGLAS

Middle

MARK

Last Name

WEBER

Business Name

DOUGLAS MARK WEBER MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/17/2012