THOMAS DEWEY WEYBURN JR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

THOMAS

Middle

DEWEY

Last Name

WEYBURN

Suffix

JR DO

Business Name

THOMAS DEWEY WEYBURN JR DO

Original Issue Date

04/16/2009

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023