LORI DEANNE WELKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

NOT RENEWED

Business

First Name

LORI

Middle

DEANNE

Last Name

WELKE

Business Name

LORI DEANNE WELKE

Original Issue Date

12/17/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/24/2020