DAVID CHARLES WEGLICKI II DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

CHARLES

Last Name

WEGLICKI

Suffix

Business Name

DAVID CHARLES WEGLICKI II DO

Original Issue Date

06/17/2014

Effective Date

08/27/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023