ERIC WIDEBURG DO - Medical Doctor License in Wisconsin | # 036166230

ERIC WIDEBURG DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166230

License Status

ACTIVE

Business

N

Title

DO

First Name

ERIC

Last Name

WIDEBURG

Business Name

ERIC WIDEBURG DO

Original Issue Date

07/31/2023

Effective Date

07/31/2023

Expiration Date

07/31/2026

State

WI

Ever Disciplined

N

LastModifiedDate

07/05/2023