THOMAS FORDHAM WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166996

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

FORDHAM

Last Name

WILSON

Business Name

THOMAS FORDHAM WILSON MD

Original Issue Date

09/13/2023

Effective Date

09/13/2023

Expiration Date

07/31/2026

City

MILWAUKEE

State

Zip

53202

Ever Disciplined

LastModifiedDate

09/13/2023