DESIDERIUS C WHIDDER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040919

License Status

INACTIVE

Business

First Name

DESIDERIUS C

Last Name

WHIDDER

Suffix

Business Name

DESIDERIUS C WHIDDER MD

Original Issue Date

02/16/1967

Effective Date

02/16/1967

Expiration Date

07/31/1990

City

ATLANTA

State

Zip

30319

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006