ADAM BENJAMIN WEINER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068828

License Status

CANCELLED

Business

Title

First Name

ADAM

Middle

BENJAMIN

Last Name

WEINER

Business Name

ADAM BENJAMIN WEINER MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

05/26/2016