JAMES P WELLER JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110811

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

WELLER JR

Business Name

JAMES P WELLER JR

Original Issue Date

02/11/2004

Effective Date

02/11/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006