MICHAEL ANTHONY WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139419

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

WILSON

Business Name

MICHAEL ANTHONY WILSON MD

Original Issue Date

11/30/2015

Effective Date

11/30/2015

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017