STACY LAUREN WEINBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060860

License Status

CANCELLED

Business

Title

First Name

STACY

Middle

LAUREN

Last Name

WEINBERG

Business Name

STACY LAUREN WEINBERG MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014