MARYLOUISE KIYANA WILKERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

MARYLOUISE

Middle

KIYANA

Last Name

WILKERSON

Suffix

Business Name

MARYLOUISE KIYANA WILKERSON MD

Original Issue Date

07/01/2010

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2025