THOMAS A WIDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022456

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

WIDELL

Suffix

Business Name

THOMAS A WIDELL MD

Original Issue Date

06/21/1988

Effective Date

06/21/1988

Expiration Date

07/01/1991

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006