NASIM WIEGLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060292

License Status

CANCELLED

Business

Title

First Name

NASIM

Last Name

WIEGLEY

Business Name

NASIM WIEGLEY MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014