JENNY WEYENBERG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072018

License Status

CANCELLED

Business

Title

First Name

JENNY

Last Name

WEYENBERG

Business Name

JENNY WEYENBERG DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

OLYMPIA FIELDS

State

Zip

60461

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2018