TIFFANY CAMIL WILSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056033

License Status

CANCELLED

Business

Title

First Name

TIFFANY

Middle

CAMIL

Last Name

WILSON

Business Name

TIFFANY CAMIL WILSON MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2012

City

FRANKFORT

State

Zip

60423

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

05/04/2009