KONRAD WIDMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048901

License Status

NOT RENEWED

Business

First Name

KONRAD

Last Name

WIDMER

Suffix

Business Name

KONRAD WIDMER MD

Original Issue Date

02/05/1974

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021