JEREMY BLAINE WINGARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129647

License Status

ACTIVE

Business

Title

First Name

JEREMY

Middle

BLAINE

Last Name

WINGARD

Business Name

JEREMY BLAINE WINGARD MD

Original Issue Date

02/21/2012

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/18/2023