STEPHANIE MARIE WELLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129096

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

MARIE

Last Name

WELLER

Business Name

STEPHANIE MARIE WELLER MD

Original Issue Date

10/17/2011

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2023