MARK JASON WEISS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062832

License Status

EXPIRED

Business

First Name

MARK

Middle

JASON

Last Name

WEISS

Business Name

MARK JASON WEISS

Original Issue Date

06/22/2013

Effective Date

06/22/2013

Expiration Date

06/21/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/16/2016