JEFFREY C WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

JEFFREY C

Last Name

WILSON

Suffix

Business Name

JEFFREY C WILSON MD

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006