THEODORE ELDON WELTZIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

ELDON

Last Name

WELTZIN

Business Name

THEODORE ELDON WELTZIN MD

Original Issue Date

05/26/2020

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

OCONOMOWOC

State

Zip

53066

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023