MARY JULIANA WIDMEYER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167928

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

JULIANA

Last Name

WIDMEYER

Business Name

MARY JULIANA WIDMEYER MD

Original Issue Date

12/12/2023

Effective Date

12/12/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

12/12/2023