KEREN TOVA WILSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050546

License Status

EXPIRED

Business

First Name

KEREN

Middle

TOVA

Last Name

WILSON

Suffix

Business Name

KEREN TOVA WILSON DO

Original Issue Date

01/02/2009

Effective Date

01/02/2009

Expiration Date

04/01/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/02/2009