RODERICK B WILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076252

License Status

NOT RENEWED

Business

First Name

RODERICK B

Last Name

WILSON

Suffix

Business Name

RODERICK B WILSON MD

Original Issue Date

10/31/1987

Effective Date

10/31/1987

Expiration Date

07/31/1996

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006