ELIJAH BRYAN WILDER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173154

License Status

ACTIVE

Business

Title

First Name

ELIJAH

Middle

BRYAN

Last Name

WILDER

Business Name

ELIJAH BRYAN WILDER DO

Original Issue Date

12/22/2024

Effective Date

12/22/2024

Expiration Date

07/31/2026

City

BLUE ASH

State

Zip

45241

County

HAMILTON

Ever Disciplined

LastModifiedDate

12/22/2024