DESTINY DESHAWN WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

DESTINY

Middle

DESHAWN

Last Name

WILSON

Business Name

DESTINY DESHAWN WILSON MD

Original Issue Date

04/29/2020

Effective Date

04/29/2020

Expiration Date

07/31/2023

City

GARLAND

State

Zip

75043

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023