JUSTIN BENEDICT WEINER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

BENEDICT

Last Name

WEINER

Suffix

Business Name

JUSTIN BENEDICT WEINER MD

Original Issue Date

04/02/2009

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014