BRIAN MATTHEW WEATHERFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

MATTHEW

Last Name

WEATHERFORD

Business Name

BRIAN MATTHEW WEATHERFORD MD

Original Issue Date

09/03/2015

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023