WESLEY DOUGLAS WYLIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

WESLEY

Middle

DOUGLAS

Last Name

WYLIE

Business Name

WESLEY DOUGLAS WYLIE MD

Original Issue Date

10/22/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PARK CITY

State

Zip

84098

County

UTAH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023