LARRY L WELLENDORF II Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029807

License Status

EXPIRED

Business

First Name

LARRY L

Last Name

WELLENDORF II

Business Name

LARRY L WELLENDORF II

Original Issue Date

05/21/1993

Effective Date

05/21/1993

Expiration Date

06/20/1996

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006