KATHERINE NANCY WELLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069580

License Status

EXPIRED

Business

Title

First Name

KATHERINE

Middle

NANCY

Last Name

WELLER

Business Name

KATHERINE NANCY WELLER MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019