THOMAS A WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

WILSON

Suffix

Business Name

THOMAS A WILSON MD

Original Issue Date

04/06/1987

Effective Date

04/06/1987

Expiration Date

07/31/1990

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006