MICHAEL WILSON DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004086

License Status

INACTIVE

Business

First Name

MICHAEL

Last Name

WILSON

Suffix

DPM

Business Name

MICHAEL WILSON DPM

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

01/31/1989

City

ORANGEBURG

State

Zip

29115

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/25/2006