OSVALDO HORACIO WESLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

OSVALDO HORACIO

Last Name

WESLY

Suffix

Business Name

OSVALDO HORACIO WESLY MD

Original Issue Date

06/19/2003

Effective Date

07/05/2016

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020