MICHAEL FENTRISS WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

MICHAEL FENTRISS

Last Name

WILSON

Suffix

Business Name

MICHAEL FENTRISS WILSON MD

Original Issue Date

01/01/1997

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023