MARK DAVID WIGOD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097944

License Status

INACTIVE

Business

First Name

MARK

Middle

DAVID

Last Name

WIGOD

Suffix

Business Name

MARK DAVID WIGOD MD

Original Issue Date

06/08/1998

Effective Date

06/08/1998

Expiration Date

07/31/1999

City

WINSTON-SALEM

State

Zip

27104

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006