STEPHEN N WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050859

License Status

NOT RENEWED

Business

First Name

STEPHEN N

Last Name

WILSON

Suffix

Business Name

STEPHEN N WILSON MD

Original Issue Date

03/21/1975

Effective Date

03/21/1975

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006