TIMOTHY O WILSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013737

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

Last Name

WILSON

Business Name

TIMOTHY O WILSON

Original Issue Date

04/26/1982

Effective Date

04/26/1982

Expiration Date

04/19/1984

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006