ANNISE GEORGETTE WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143070

License Status

NOT RENEWED

Business

Title

First Name

ANNISE

Middle

GEORGETTE

Last Name

WILSON

Business Name

ANNISE GEORGETTE WILSON MD

Original Issue Date

04/25/2017

Effective Date

04/25/2017

Expiration Date

09/30/2020

City

HOUSTON

State

Zip

77030

Ever Disciplined

LastModifiedDate

01/14/2021