LAWREN D WELLISCH MD - Medical Doctor License in Massachusetts | # 33*****12

LAWREN D WELLISCH MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

N

Title

MD

First Name

LAWREN

Middle

D

Last Name

WELLISCH

Business Name

LAWREN D WELLISCH MD

Original Issue Date

03/11/2015

Effective Date

06/10/2023

Expiration Date

07/31/2026

State

MA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

06/10/2023