ERIC ANTHONY WIDRA MD - Medical Doctor License in Virginia | # 036139547

ERIC ANTHONY WIDRA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139547

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ERIC

Middle

ANTHONY

Last Name

WIDRA

Business Name

ERIC ANTHONY WIDRA MD

Original Issue Date

12/31/2015

Effective Date

09/07/2020

Expiration Date

07/31/2023

State

VA

Ever Disciplined

N

LastModifiedDate

11/30/2023