AUDREY LAGERQUIS WILSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036025166

License Status

INACTIVE

Business

First Name

AUDREY LAGERQUIS

Last Name

WILSON

Suffix

Business Name

AUDREY LAGERQUIS WILSON MD

Original Issue Date

09/16/1942

Effective Date

09/16/1942

Expiration Date

07/31/1987

City

KEY LARGO

State

Zip

33037

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006