AUGUSTINE R WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160999

License Status

NOT RENEWED

Business

Title

First Name

AUGUSTINE

Middle

Last Name

WILSON

Business Name

AUGUSTINE R WILSON MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023