KONRAD WIDMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

KONRAD

Last Name

WIDMER

Suffix

Business Name

KONRAD WIDMER MD

Original Issue Date

04/10/1992

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020