WILLIAM D WEAVER JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

WEAVER

Suffix

JR DO

Business Name

WILLIAM D WEAVER JR DO

Original Issue Date

08/13/1990

Effective Date

08/13/1990

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020