MAXWELL JOSEPH WINGELAAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155574

License Status

NOT RENEWED

Business

Title

First Name

MAXWELL

Middle

JOSEPH

Last Name

WINGELAAR

Business Name

MAXWELL JOSEPH WINGELAAR MD

Original Issue Date

02/09/2021

Effective Date

02/09/2021

Expiration Date

07/31/2023

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/30/2023