MICHAEL W WINGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

MICHAEL W

Last Name

WINGO

Suffix

Business Name

MICHAEL W WINGO MD

Original Issue Date

07/17/1991

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023