JACK C WELLS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

JACK C

Last Name

WELLS JR

Suffix

Business Name

JACK C WELLS JR MD

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

07/31/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006