SHENELLE NICOLE WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160851

License Status

ACTIVE

Business

Title

First Name

SHENELLE

Middle

NICOLE

Last Name

WILSON

Business Name

SHENELLE NICOLE WILSON MD

Original Issue Date

06/13/2022

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ATLANTA

State

Zip

30318

Ever Disciplined

LastModifiedDate

11/30/2023