BRADLEY A WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118588

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

Last Name

WILSON

Suffix

Business Name

BRADLEY A WILSON MD

Original Issue Date

06/01/2007

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/26/2023