EVERETT LAWRENCE WEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

EVERETT

Middle

LAWRENCE

Last Name

WEISS

Suffix

Business Name

EVERETT LAWRENCE WEISS MD

Original Issue Date

02/26/2007

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021