MICHAEL WILSON DPM - Podiatrist License in South Carolina | # 016004086

MICHAEL WILSON DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004086

License Status

INACTIVE

Business

N

First Name

MICHAEL

Last Name

WILSON

Suffix

DPM

Business Name

MICHAEL WILSON DPM

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

01/31/1989

State

SC

Ever Disciplined

N

LastModifiedDate

09/25/2006