JAY FOSTER WIGBOLDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

JAY

Middle

FOSTER

Last Name

WIGBOLDY

Business Name

JAY FOSTER WIGBOLDY MD

Original Issue Date

11/16/2017

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023