Medical Board of California
Licensing details for: PTL 14215
Name: Wilson, Tyler Martin
License Type: Postgraduate Training License
Primary Status: License Canceled

School Name: Drexel University College of Medicine
Graduation Year: 2023
Current Enrolled Postgraduate Training Program
Facility Name: HCA HEALTHCARE/LOS ROBLES REGIONAL MEDICAL CENTER PROGRAM
City: Thousand Oaks
State: California
Speciality: Surgery
Start Date: 07/01/2023
Anticipated End Date: 09/30/2024
Address of Record
215 W Janss Rd
THOUSAND OAKS CA 91360-1847
VENTURA county
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License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Postgraduate Training License
Related Party Role: Physician & Surgeon
Name: Wilson, Tyler Martin
License/Registration Type: Physician's and Surgeon's
License Number: 206218 Primary Status: License Renewed & Current
Address :
215 W Janss Rd
THOUSAND OAKS CA 91360-1847
VENTURA COUNTY



