MARLA KAY WILSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****38

License Status

ACTIVE

Business

First Name

MARLA

Middle

KAY

Last Name

WILSON

Suffix

DPM

Business Name

MARLA KAY WILSON DPM

Original Issue Date

01/27/2000

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025