KATHRYN A WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

KATHRYN A

Last Name

WILSON

Suffix

Business Name

KATHRYN A WILSON MD

Original Issue Date

07/23/1990

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017