GORDON GREGORY WELLER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

GORDON GREGORY

Last Name

WELLER

Business Name

GORDON GREGORY WELLER

Original Issue Date

03/02/1982

Effective Date

03/02/1982

Expiration Date

01/31/1985

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006