BLAKE G WELLING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023059

License Status

EXPIRED

Business

First Name

BLAKE G

Last Name

WELLING

Suffix

Business Name

BLAKE G WELLING MD

Original Issue Date

11/04/1988

Effective Date

11/04/1988

Expiration Date

11/04/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006