AMELIA JANE WIGGINS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055799

License Status

CANCELLED

Business

Title

First Name

AMELIA

Middle

JANE

Last Name

WIGGINS

Business Name

AMELIA JANE WIGGINS DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/11/2012