MARK S WEINBERGER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

WEINBERGER

Business Name

MARK S WEINBERGER

Original Issue Date

10/06/2003

Effective Date

10/06/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006