MARK J WELLS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

MARK J

Last Name

WELLS

Suffix

DDS

Business Name

MARK J WELLS DDS

Original Issue Date

11/04/1987

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024