MICHAEL J WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

WILSON

Business Name

MICHAEL J WILSON MD

Original Issue Date

04/15/1982

Effective Date

04/15/1982

Expiration Date

07/31/1990

City

SHERMAN

State

Zip

62684

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020