FREDRICK P WILSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064604

License Status

NOT RENEWED

Business

First Name

FREDRICK P

Last Name

WILSON

Suffix

Business Name

FREDRICK P WILSON DO

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1984

City

WOODHAVEN

State

Zip

48183

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006