JACQUELINE DELIA WELTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

DELIA

Last Name

WELTER

Suffix

Business Name

JACQUELINE DELIA WELTER MD

Original Issue Date

11/21/2018

Effective Date

11/21/2018

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021