MALLORI MARIE WILSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000998

License Status

EXPIRED

Business

Title

First Name

MALLORI

Middle

MARIE

Last Name

WILSON

Business Name

MALLORI MARIE WILSON MD

Original Issue Date

11/15/2022

Effective Date

11/15/2022

Expiration Date

05/14/2023

City

ROCKFORD

State

Zip

61108

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

03/06/2024