EDRA B WEISS 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

EDRA B

Last Name

WEISS

Suffix

Business Name

EDRA B WEISS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006