JEFFREY KEITH WINGATE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

KEITH

Last Name

WINGATE

Business Name

JEFFREY KEITH WINGATE MD

Original Issue Date

08/15/2011

Effective Date

04/12/2024

Expiration Date

07/31/2026

City

BIRMINGHAM

State

Zip

48012

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2024