CARRIE CELESTINE WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

CARRIE CELESTINE

Last Name

WILSON

Suffix

Business Name

CARRIE CELESTINE WILSON MD

Original Issue Date

11/08/2013

Effective Date

11/08/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020