OSVALDO HORACIO WESLY 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

OSVALDO HORACIO

Last Name

WESLY

Suffix

Business Name

OSVALDO HORACIO WESLY MD

Original Issue Date

08/30/1994

Effective Date

08/30/1994

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020