THOMAS A WIDELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084421

License Status

ACTIVE

Business

First Name

THOMAS A

Last Name

WIDELL

Suffix

Business Name

THOMAS A WIDELL MD

Original Issue Date

06/01/1992

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

Ever Disciplined

LastModifiedDate

07/10/2023