JAMES P WELLER JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

WELLER JR

Business Name

JAMES P WELLER JR

Original Issue Date

04/20/2004

Effective Date

04/20/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006