RICHARD G WILSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032870

License Status

INACTIVE

Business

First Name

RICHARD G

Last Name

WILSON

Suffix

Business Name

RICHARD G WILSON MD

Original Issue Date

09/20/1954

Effective Date

09/20/1954

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006