MARCUS WIGUTOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064523

License Status

NOT RENEWED

Business

First Name

MARCUS

Last Name

WIGUTOW

Suffix

Business Name

MARCUS WIGUTOW MD

Original Issue Date

06/18/1982

Effective Date

06/18/1982

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006