JEFFREY LEE WIDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

LEE

Last Name

WIDELL

Business Name

JEFFREY LEE WIDELL MD

Original Issue Date

06/29/2021

Effective Date

06/29/2021

Expiration Date

07/31/2023

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023