ROBERT ALLEN WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

ROBERT ALLEN

Last Name

WILSON

Suffix

Business Name

ROBERT ALLEN WILSON MD

Original Issue Date

05/10/1983

Effective Date

05/10/1983

Expiration Date

07/31/1987

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006