PAUL R WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080131

License Status

NOT RENEWED

Business

First Name

PAUL R

Last Name

WILSON

Suffix

Business Name

PAUL R WILSON MD

Original Issue Date

06/26/1990

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021