HOLLY ROSE WEIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059298

License Status

EXPIRED

Business

Title

First Name

HOLLY

Middle

ROSE

Last Name

WEIS

Business Name

HOLLY ROSE WEIS MD

Original Issue Date

06/20/2011

Effective Date

06/20/2011

Expiration Date

06/19/2012

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012