SCOTT NICHOLAS WELLE DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124916

License Status

INACTIVE

Business

Title

First Name

SCOTT

Middle

NICHOLAS

Last Name

WELLE

Business Name

SCOTT NICHOLAS WELLE DO

Original Issue Date

02/02/2010

Effective Date

02/02/2010

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011