MARYLOUISE KIYANA WILKERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053085

License Status

EXPIRED

Business

First Name

MARYLOUISE

Middle

KIYANA

Last Name

WILKERSON

Suffix

Business Name

MARYLOUISE KIYANA WILKERSON MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/08/2010