PAMELA RENEE WILSON - Podiatrist License in Wisconsin | # 016005147

PAMELA RENEE WILSON

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005147

License Status

INACTIVE

Business

N

First Name

PAMELA

Middle

RENEE

Last Name

WILSON

Business Name

PAMELA RENEE WILSON

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

01/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006