MARLA KAY WILSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004880

License Status

ACTIVE

Business

First Name

MARLA

Middle

KAY

Last Name

WILSON

Suffix

DPM

Business Name

MARLA KAY WILSON DPM

Original Issue Date

07/20/1998

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2024