DAVID ALLEN WIGHT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

DAVID

Middle

ALLEN

Last Name

WIGHT

Suffix

Business Name

DAVID ALLEN WIGHT MD

Original Issue Date

07/27/1999

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023