KENNETH L WILSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013575

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

WILSON

Business Name

KENNETH L WILSON

Original Issue Date

11/06/1981

Effective Date

11/06/1981

Expiration Date

10/28/1983

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006