THEODORE ELDON WELTZIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

THEODORE

Middle

ELDON

Last Name

WELTZIN

Business Name

THEODORE ELDON WELTZIN MD

Original Issue Date

05/28/2015

Effective Date

05/28/2015

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020