DONNELL WIGFALL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054936

License Status

EXPIRED

Business

Title

First Name

DONNELL

Last Name

WIGFALL

Business Name

DONNELL WIGFALL DO

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/19/2011