LAWRENCE ANDREW WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041660

License Status

NOT RENEWED

Business

First Name

LAWRENCE ANDREW

Last Name

WILSON

Suffix

Business Name

LAWRENCE ANDREW WILSON MD

Original Issue Date

03/29/1968

Effective Date

03/29/1968

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006