CHARLES ALAN WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101336

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ALAN

Last Name

WILSON

Suffix

Business Name

CHARLES ALAN WILSON MD

Original Issue Date

09/24/1999

Effective Date

09/24/1999

Expiration Date

07/31/2002

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006