JAMES H WYNSTRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JAMES H

Last Name

WYNSTRA

Suffix

Business Name

JAMES H WYNSTRA MD

Original Issue Date

01/10/1990

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021