MICHAEL ANTHONY WILSON MD - Medical Doctor License in Missouri | # 036139419

MICHAEL ANTHONY WILSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139419

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MICHAEL

Middle

ANTHONY

Last Name

WILSON

Business Name

MICHAEL ANTHONY WILSON MD

Original Issue Date

11/30/2015

Effective Date

11/30/2015

Expiration Date

07/31/2017

State

MO

Ever Disciplined

N

LastModifiedDate

11/01/2017