GARY ANTHONY WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125147

License Status

NOT RENEWED

Business

First Name

GARY

Middle

ANTHONY

Last Name

WILSON

Suffix

Business Name

GARY ANTHONY WILSON MD

Original Issue Date

03/09/2010

Effective Date

03/09/2010

Expiration Date

07/31/2011

City

PALM COAST

State

Zip

32164

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/14/2011