JACK C WELLS JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076359

License Status

INACTIVE

Business

First Name

JACK C

Last Name

WELLS JR

Suffix

Business Name

JACK C WELLS JR MD

Original Issue Date

11/14/1987

Effective Date

11/14/1987

Expiration Date

07/31/1990

City

JOHNSTOWN

State

Zip

15905

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006