ELIJAH BRYAN WILDER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

ELIJAH

Middle

BRYAN

Last Name

WILDER

Business Name

ELIJAH BRYAN WILDER DO

Original Issue Date

04/10/2025

Effective Date

04/10/2025

Expiration Date

07/31/2026

City

BLUE ASH

State

Zip

45241

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2025