GARY L WILSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057936

License Status

INACTIVE

Business

First Name

GARY L

Last Name

WILSON

Suffix

Business Name

GARY L WILSON MD

Original Issue Date

10/23/1978

Effective Date

10/23/1978

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/17/2008