AMANDA LEIGH WILSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049068

License Status

CANCELLED

Business

First Name

AMANDA

Middle

LEIGH

Last Name

WILSON

Suffix

Business Name

AMANDA LEIGH WILSON MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006