MAXWELL JOSEPH WINGELAAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

MAXWELL

Middle

JOSEPH

Last Name

WINGELAAR

Business Name

MAXWELL JOSEPH WINGELAAR MD

Original Issue Date

03/26/2021

Effective Date

03/26/2021

Expiration Date

07/31/2023

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023