RICKEY LEE WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142199

License Status

NOT RENEWED

Business

Title

First Name

RICKEY

Middle

LEE

Last Name

WILSON

Business Name

RICKEY LEE WILSON MD

Original Issue Date

01/11/2017

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

DAVENPORT

State

Zip

52809

County

IOWA

Ever Disciplined

LastModifiedDate

11/30/2023