DAVID MICHAEL WILDER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061170

License Status

INACTIVE

Business

First Name

DAVID MICHAEL

Last Name

WILDER

Suffix

Business Name

DAVID MICHAEL WILDER DO

Original Issue Date

10/31/1980

Effective Date

10/31/1980

Expiration Date

07/31/1987

City

BEL AIR

State

Zip

21014

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006