PAMELA RENEE WILSON Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005147

License Status

INACTIVE

Business

First Name

PAMELA

Middle

RENEE

Last Name

WILSON

Business Name

PAMELA RENEE WILSON

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

01/31/2005

City

MILWAUKEE

State

Zip

53233

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006