BILLIE WINEGARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140840

License Status

NOT RENEWED

Business

Title

First Name

BILLIE

Last Name

WINEGARD

Business Name

BILLIE WINEGARD MD

Original Issue Date

06/07/2016

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021