THOMAS A WIDELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

THOMAS A

Last Name

WIDELL

Suffix

Business Name

THOMAS A WIDELL MD

Original Issue Date

06/09/1992

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023