GLENN A WEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

GLENN A

Last Name

WEISS

Suffix

Business Name

GLENN A WEISS MD

Original Issue Date

07/28/1993

Effective Date

07/28/1993

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020