LAWREN D WELLISCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137535

License Status

ACTIVE

Business

Title

First Name

LAWREN

Middle

Last Name

WELLISCH

Business Name

LAWREN D WELLISCH MD

Original Issue Date

03/11/2015

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

BOSTON

State

Zip

02118

County

COOK

Ever Disciplined

LastModifiedDate

06/10/2023