BROOK VAN HAMM WIERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

BROOK

Middle

VAN HAMM

Last Name

WIERS

Suffix

Business Name

BROOK VAN HAMM WIERS MD

Original Issue Date

03/29/2000

Effective Date

03/29/2000

Expiration Date

07/31/2002

City

HOFFMAN ESTATES

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006