MARLA KAY WILSON DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000333

License Status

EXPIRED

Business

First Name

MARLA

Middle

KAY

Last Name

WILSON

Suffix

DPM

Business Name

MARLA KAY WILSON DPM

Original Issue Date

06/23/1997

Effective Date

06/23/1997

Expiration Date

06/30/1998

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/25/2006