HENRY WILLIAM WIGGINS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039380

License Status

NOT RENEWED

Business

First Name

HENRY WILLIAM

Last Name

WIGGINS JR

Suffix

Business Name

HENRY WILLIAM WIGGINS JR MD

Original Issue Date

08/17/1964

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017