CYRIL CHARLES WIGGISHOFF MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037414

License Status

INACTIVE

Business

First Name

CYRIL CHARLES

Last Name

WIGGISHOFF

Suffix

Business Name

CYRIL CHARLES WIGGISHOFF MD

Original Issue Date

09/25/1961

Effective Date

09/25/1961

Expiration Date

07/31/1990

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006