LANNY F WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054156

License Status

NOT RENEWED

Business

First Name

LANNY F

Last Name

WILSON

Suffix

Business Name

LANNY F WILSON MD

Original Issue Date

02/15/1977

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021