BARBARA JANE WILSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

JANE

Last Name

WILSON

Business Name

BARBARA JANE WILSON

Original Issue Date

05/17/2011

Effective Date

05/17/2011

Expiration Date

07/31/2014

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014