DAVID CHARLES WILKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057491

License Status

NOT RENEWED

Business

First Name

DAVID CHARLES

Last Name

WILKS

Suffix

Business Name

DAVID CHARLES WILKS MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/1999

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006