MICHAEL J WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

WILSON

Business Name

MICHAEL J WILSON MD

Original Issue Date

11/25/1985

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023