DANIEL THOMAS WING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

DANIEL

Middle

THOMAS

Last Name

WING

Suffix

Business Name

DANIEL THOMAS WING MD

Original Issue Date

08/06/2019

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

OXFORD

State

Zip

52322

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023