KIMBERLEE VAN WILSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135968

License Status

NOT RENEWED

Business

Title

First Name

KIMBERLEE

Middle

VAN

Last Name

WILSON

Business Name

KIMBERLEE VAN WILSON DO

Original Issue Date

07/17/2014

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

PHOENIX

State

Zip

85085

Ever Disciplined

LastModifiedDate

11/30/2023