MARC L WIENER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

MARC L

Last Name

WIENER

Suffix

Business Name

MARC L WIENER MD

Original Issue Date

06/16/1994

Effective Date

06/16/1994

Expiration Date

07/31/2002

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020