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| Physician Records |
| Physician Last Name: | Wilson | |||
| Physician First Name: | Dwayne | |||
| Physician Middle Name: | ||||
| Address: | 388 S. Main Street Apartment 56 Providence, Rhode Island 02903 | |||
| License Number: | 210137 | |||
| License Type: | MD | |||
| Year of Birth: | 1956 | |||
| Effective Date: | 08/09/2007 | |||
| Action Description for DOH Webpage: | License revocation. | |||
| Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charges finding the physician guilty of negligence, incompetence; engaging in conduct which evidences moral unfitness, practicing fraudulently; filing a false report and failing to maintain accurate records. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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