NASIM WIEGLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134947

License Status

NOT RENEWED

Business

Title

First Name

NASIM

Last Name

WIEGLEY

Business Name

NASIM WIEGLEY MD

Original Issue Date

04/09/2014

Effective Date

04/09/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017