JODY A WELLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

JODY A

Last Name

WELLER

Business Name

JODY A WELLER

Original Issue Date

08/10/1987

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2024