MARC L WIENER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MARC L

Last Name

WIENER

Suffix

Business Name

MARC L WIENER MD

Original Issue Date

09/14/1988

Effective Date

09/14/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

04/05/2020