AMANDA LEIGH WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEIGH

Last Name

WILSON

Suffix

Business Name

AMANDA LEIGH WILSON MD

Original Issue Date

01/15/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

04/05/2020