FORREST SIMPSON WELLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

FORREST

Middle

SIMPSON

Last Name

WELLS

Suffix

Business Name

FORREST SIMPSON WELLS MD

Original Issue Date

06/09/2000

Effective Date

06/09/2000

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006