WOLFGANG PETER MIGGIANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

WOLFGANG

Middle

PETER

Last Name

MIGGIANI

Business Name

WOLFGANG PETER MIGGIANI MD

Original Issue Date

07/05/2019

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023