JONATHAN DAVID WIGDERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100433

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

DAVID

Last Name

WIGDERSON

Suffix

Business Name

JONATHAN DAVID WIGDERSON DO

Original Issue Date

06/24/1999

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

11/14/2011