JEFFREY LEE WIDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157395

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

LEE

Last Name

WIDELL

Business Name

JEFFREY LEE WIDELL MD

Original Issue Date

06/11/2021

Effective Date

06/11/2021

Expiration Date

07/31/2023

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023