MELISSA EVE WIGDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

EVE

Last Name

WIGDERSON

Suffix

Business Name

MELISSA EVE WIGDERSON MD

Original Issue Date

07/31/2003

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020