LAWRENCE W WIGGINS JR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000674

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

Last Name

WIGGINS

Suffix

Business Name

LAWRENCE W WIGGINS JR

Original Issue Date

02/15/1995

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

02/13/2026