WILSON R SCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034919

License Status

NOT RENEWED

Business

First Name

WILSON R

Last Name

SCOTT

Suffix

Business Name

WILSON R SCOTT MD

Original Issue Date

09/03/1957

Effective Date

09/03/1957

Expiration Date

07/31/1996

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006