KENNETH A WELLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023890

License Status

EXPIRED

Business

First Name

KENNETH A

Last Name

WELLER

Suffix

Business Name

KENNETH A WELLER MD

Original Issue Date

05/19/1989

Effective Date

05/19/1989

Expiration Date

07/01/1992

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006