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Licensing details for: A 206218

Name: Wilson, Tyler Martin

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: Drexel University College of Medicine

Graduation Year: 2023

Address of Record

215 W Janss Rd
THOUSAND OAKS CA 91360-1847
VENTURA county
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Issuance Date

December 1, 2025

Expiration Date

February 29, 2028

Current Date / Time

April 9, 2026
4:32:30 AM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Wilson, Tyler Martin

License/Registration Type: Postgraduate Training License

License Number: 14215 Primary Status: License Canceled

Address :
215 W Janss Rd
THOUSAND OAKS CA 91360-1847
VENTURA COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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