MAGGIE LEE DWIGGINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

MAGGIE

Middle

LEE

Last Name

DWIGGINS

Suffix

Business Name

MAGGIE LEE DWIGGINS MD

Original Issue Date

11/02/2022

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023