MATTHEW ROBERT WEYENBERG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071428

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

ROBERT

Last Name

WEYENBERG

Business Name

MATTHEW ROBERT WEYENBERG DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Cardiology

Ever Disciplined

LastModifiedDate

05/14/2020