WAYNE OLIVER WELLS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

WAYNE

Middle

OLIVER

Last Name

WELLS

Business Name

WAYNE OLIVER WELLS

Original Issue Date

12/30/2020

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023