STEPHEN M WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041726

License Status

NOT RENEWED

Business

First Name

STEPHEN M

Last Name

WILSON

Suffix

Business Name

STEPHEN M WILSON MD

Original Issue Date

07/01/1968

Effective Date

07/01/1968

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006