THOMAS DEWEY WEYBURN JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

DEWEY

Last Name

WEYBURN

Suffix

JR DO

Business Name

THOMAS DEWEY WEYBURN JR DO

Original Issue Date

06/05/2003

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020