WILSON, MATTHEW - Licensee Information

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

WILSON, MATTHEW

Practice Address:	MERCY VIRTUAL 15740 S OUTER 40 ROAD CHESTERFIELD MO 63017 Address last updated on 3/21/2024
Phone #:	(636) 237-4200
Fax #:
County:	NOT OKLAHOMA
License:	42939
Dated:	3/15/2024
Expires:	3/1/2025
License Type:	Medical Doctor
Specialty:	Psychiatry

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	UNIV OF TN, HLTH SCI CTR, COLL OF MED, MEMPHIS TN 38163
Graduated:	5 / 2004
CME Year:	2027

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
MERCY VIRTUAL 15740 S OUTER 40 ROAD CHESTERFIELD MO 63017 Phone #: (636) 237-4200 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
AMANDA ANDERSON	APRN	9167
TAMMY LEBRELL	APRN	10824