JAY SCOTT WELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

JAY SCOTT

Last Name

WELLER

Suffix

Business Name

JAY SCOTT WELLER MD

Original Issue Date

01/09/1987

Effective Date

01/09/1987

Expiration Date

07/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017