MICHAEL RICHARD WILSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110638

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

WILSON

Suffix

Business Name

MICHAEL RICHARD WILSON DO

Original Issue Date

12/31/2003

Effective Date

09/26/2023

Expiration Date

07/31/2026

City

KILDEER

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2023