NICHOLAS JAMES WEBER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

JAMES

Last Name

WEBER

Business Name

NICHOLAS JAMES WEBER DO

Original Issue Date

08/25/2017

Effective Date

08/25/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021