MELISSA EVE WIGDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109817

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

EVE

Last Name

WIGDERSON

Suffix

Business Name

MELISSA EVE WIGDERSON MD

Original Issue Date

07/30/2003

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023