JOHN CONRAD WELU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOHN

Middle

CONRAD

Last Name

WELU

Business Name

JOHN CONRAD WELU DDS

Original Issue Date

01/01/1998

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018