DONALD DRAKE WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054458

License Status

NOT RENEWED

Business

First Name

DONALD DRAKE

Last Name

WILSON

Suffix

Business Name

DONALD DRAKE WILSON MD

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006