MICHAEL KUYKENDALL WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

KUYKENDALL

Last Name

WILSON

Business Name

MICHAEL KUYKENDALL WILSON MD

Original Issue Date

04/14/2020

Effective Date

04/14/2020

Expiration Date

07/31/2023

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023