KENNETH LOUIS WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144110

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

LOUIS

Last Name

WILSON

Business Name

KENNETH LOUIS WILSON MD

Original Issue Date

08/16/2017

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

05/24/2023