JEROME ALLEN WINER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

JEROME ALLEN

Last Name

WINER

Suffix

Business Name

JEROME ALLEN WINER MD

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017