MICHAEL RICHARD WILSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

WILSON

Suffix

Business Name

MICHAEL RICHARD WILSON DO

Original Issue Date

03/17/2005

Effective Date

10/26/2023

Expiration Date

07/31/2026

City

KILDEER

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/26/2023