DANICA EDRIRE JOI WILSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056775

License Status

CANCELLED

Business

Title

First Name

DANICA

Middle

EDRIRE JOI

Last Name

WILSON

Business Name

DANICA EDRIRE JOI WILSON MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

06/09/2009