AMELIA JANE WIGGINS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

AMELIA

Middle

JANE

Last Name

WIGGINS

Business Name

AMELIA JANE WIGGINS DO

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

07/31/2014

City

CINCINNATI

State

Zip

45209

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014