DAVID MICHAEL WILDER DO - Medical Doctor License in Maryland | # 036061170

DAVID MICHAEL WILDER DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061170

License Status

INACTIVE

Business

N

First Name

DAVID MICHAEL

Last Name

WILDER

Suffix

DO

Business Name

DAVID MICHAEL WILDER DO

Original Issue Date

10/31/1980

Effective Date

10/31/1980

Expiration Date

07/31/1987

State

MD

Ever Disciplined

N

LastModifiedDate

09/20/2006