RODGERS M WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100271

License Status

NOT RENEWED

Business

First Name

RODGERS

Middle

Last Name

WILSON

Suffix

Business Name

RODGERS M WILSON MD

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

07/31/2005

City

PHOENIX

State

Zip

85024

Ever Disciplined

LastModifiedDate

02/24/2010