ALICIA MICHELLE WIGGINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057212

License Status

EXPIRED

Business

Title

First Name

ALICIA

Middle

MICHELLE

Last Name

WIGGINS

Business Name

ALICIA MICHELLE WIGGINS MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

08/29/2012