MARY JULIANA WIDMEYER MD - Medical Doctor License in Minnesota | # 125065846

MARY JULIANA WIDMEYER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065846

License Status

EXPIRED

Business

N

Title

MD

First Name

MARY

Middle

JULIANA

Last Name

WIDMEYER

Business Name

MARY JULIANA WIDMEYER MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

State

MN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/04/2015