LARRY L WELLENDORF II Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

LARRY L

Last Name

WELLENDORF II

Business Name

LARRY L WELLENDORF II

Original Issue Date

09/15/1995

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60666

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2025