CHARLES EDWARD WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

CHARLES EDWARD

Last Name

WILSON

Suffix

Business Name

CHARLES EDWARD WILSON MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SALEM

State

Zip

97302

County

OREGON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006