DAVID A WIEGAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

WIEGAND

Suffix

Business Name

DAVID A WIEGAND MD

Original Issue Date

10/20/1982

Effective Date

10/20/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006