JULIE MICHELLE WEIBERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****16

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

MICHELLE

Last Name

WEIBERT

Suffix

Business Name

JULIE MICHELLE WEIBERT OD

Original Issue Date

12/13/2005

Effective Date

03/10/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012