EDGAR GERARD WYGANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

EDGAR GERARD

Last Name

WYGANT

Suffix

Business Name

EDGAR GERARD WYGANT MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006