ETHAN WECKSTEIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072043

License Status

CANCELLED

Business

Title

First Name

ETHAN

Last Name

WECKSTEIN

Business Name

ETHAN WECKSTEIN DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/25/2018