RYAN WIEGAND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082451

License Status

ACTIVE

Business

Title

First Name

RYAN

Last Name

WIEGAND

Business Name

RYAN WIEGAND MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/05/2023