KENNETH A WELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083347

License Status

NOT RENEWED

Business

First Name

KENNETH A

Last Name

WELLER

Suffix

Business Name

KENNETH A WELLER MD

Original Issue Date

08/27/1991

Effective Date

08/27/1991

Expiration Date

07/31/1999

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006