MICHAEL RICHARD WILSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042806

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

WILSON

Suffix

Business Name

MICHAEL RICHARD WILSON DO

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/18/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006