ROBERT KENT WILSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

KENT

Last Name

WILSON

Business Name

ROBERT KENT WILSON DO

Original Issue Date

08/18/2020

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

MORELAND HILLS

State

Zip

44022

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023