WILSON C PO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110726

License Status

NOT RENEWED

Business

First Name

WILSON C

Last Name

Business Name

WILSON C PO

Original Issue Date

01/26/2004

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017