DIONTE KENARD WIGGINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153297

License Status

ACTIVE

Business

Title

First Name

DIONTE

Middle

KENARD

Last Name

WIGGINS

Business Name

DIONTE KENARD WIGGINS MD

Original Issue Date

06/09/2020

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

06/27/2023