THOMAS DEWEY WEYBURN JR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

CANCELLED

Business

First Name

THOMAS

Middle

DEWEY

Last Name

WEYBURN

Suffix

JR DO

Business Name

THOMAS DEWEY WEYBURN JR DO

Original Issue Date

12/01/1998

Effective Date

12/01/1998

Expiration Date

07/31/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020