TABATHA SELINA WELLS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129167

License Status

ACTIVE

Business

Title

First Name

TABATHA

Middle

SELINA

Last Name

WELLS

Business Name

TABATHA SELINA WELLS MD

Original Issue Date

10/31/2011

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/23/2024