MARK JOSEPH WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

JOSEPH

Last Name

WILSON

Business Name

MARK JOSEPH WILSON MD

Original Issue Date

11/16/2023

Effective Date

11/16/2023

Expiration Date

07/31/2026

City

EL PASO

State

Zip

79912

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/16/2023