FELIX BRADLEY WIDLACKI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053116

License Status

CANCELLED

Business

First Name

FELIX

Middle

BRADLEY

Last Name

WIDLACKI

Suffix

Business Name

FELIX BRADLEY WIDLACKI DO

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/24/2007