LAWREN D WELLISCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023