DENISE C WEAVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

DENISE C

Last Name

WEAVER

Suffix

Business Name

DENISE C WEAVER MD

Original Issue Date

11/20/1990

Effective Date

11/20/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006