MARK DANIEL WILSON DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038012130

License Status

INACTIVE

Business

Title

First Name

MARK

Middle

DANIEL

Last Name

WILSON

Business Name

MARK DANIEL WILSON DC

Original Issue Date

01/18/2012

Effective Date

01/18/2012

Expiration Date

07/31/2014

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014