CHARLES EDWARD WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044909

License Status

NOT RENEWED

Business

First Name

CHARLES EDWARD

Last Name

WILSON

Suffix

Business Name

CHARLES EDWARD WILSON MD

Original Issue Date

10/08/1971

Effective Date

10/08/1971

City

SALEM

State

Zip

97302

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006