STANLEY J SIDWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063407

License Status

ACTIVE

Business

First Name

STANLEY

Middle

Last Name

SIDWELL

Suffix

Business Name

STANLEY J SIDWELL MD

Original Issue Date

10/19/1981

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

07/18/2023