LAWRENCE WELLS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112850

License Status

INACTIVE

Business

First Name

LAWRENCE

Last Name

WELLS

Suffix

Business Name

LAWRENCE WELLS MD

Original Issue Date

01/04/2005

Effective Date

01/04/2005

Expiration Date

07/31/2005

City

FLORRISANT

State

Zip

63033

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006