LARRY L WELLENDORF II Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

LARRY L

Last Name

WELLENDORF II

Business Name

LARRY L WELLENDORF II

Original Issue Date

06/30/2005

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023