REBECCA DENISE WILSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073993

License Status

CANCELLED

Business

Title

First Name

REBECCA

Middle

DENISE

Last Name

WILSON

Business Name

REBECCA DENISE WILSON DO

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2019