Lisa Ann Wilson
ExpiredCalifornia license A121788
License
- Licensed by
- Medical Board of California
- License number
- A121788
- Status
- Expired (Delinquent)
- First issued
- June 20, 2012
- Expired
- June 30, 2022
- License holder
- Lisa Ann Wilson
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Other California licenses under this name
-
CA
ActiveExpires Jun 30, 2028
-
CA
ExpiredNovi, MIExpired Feb 28, 2006
Contact
3530 Highfield Ct # A
Indianapolis, IN 46222
Indianapolis, IN 46222
Marion County