GREGORY JAMES WELLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143485

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

JAMES

Last Name

WELLE

Business Name

GREGORY JAMES WELLE MD

Original Issue Date

06/14/2017

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

01/14/2021