GREGORY A WIENER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

WIENER

Suffix

Business Name

GREGORY A WIENER MD

Original Issue Date

02/10/1999

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023