ANDREW IAN WILSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071221

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

IAN

Last Name

WILSON

Business Name

ANDREW IAN WILSON MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/10/2017