SHAWN P WILSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020524

License Status

EXPIRED

Business

Title

First Name

SHAWN

Middle

Last Name

WILSON

Business Name

SHAWN P WILSON MD

Original Issue Date

04/22/1987

Effective Date

04/22/1987

Expiration Date

07/01/1990

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006