DOUGLAS JAMES WEAVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077477

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

JAMES

Last Name

WEAVER

Business Name

DOUGLAS JAMES WEAVER MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

01/16/2024