YVONNE JEAN WILSON MD 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

YVONNE

Middle

JEAN

Last Name

WILSON

Suffix

Business Name

YVONNE JEAN WILSON MD

Original Issue Date

10/26/2005

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014