TABATHA SELINA WELLS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

TABATHA

Middle

SELINA

Last Name

WELLS

Business Name

TABATHA SELINA WELLS MD

Original Issue Date

10/31/2011

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

SPRINGFILED

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023