ADDISON GRAVES WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

ADDISON

Middle

GRAVES

Last Name

WILSON

Business Name

ADDISON GRAVES WILSON MD

Original Issue Date

01/04/2024

Effective Date

01/04/2024

Expiration Date

07/31/2026

City

BEAUFORT

State

Zip

29907

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/04/2024