DIANA LAURA WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097026

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LAURA

Last Name

WILSON

Suffix

Business Name

DIANA LAURA WILSON MD

Original Issue Date

11/21/1997

Effective Date

11/21/1997

Expiration Date

07/31/1999

City

OKLAHOMA CITY

State

Zip

73102

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

07/13/2010