MATTHEW ERIC WELLS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001478

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

ERIC

Last Name

WELLS

Business Name

MATTHEW ERIC WELLS DO

Original Issue Date

09/12/2022

Effective Date

09/12/2022

Expiration Date

12/11/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

03/06/2024