KATHLEEN E WIDES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014060

License Status

EXPIRED

Business

First Name

KATHLEEN E

Last Name

WIDES

Business Name

KATHLEEN E WIDES

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/22/1984

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006