DONALD L VIDGER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

CANCELLED

Business

First Name

DONALD L

Last Name

VIDGER

Suffix

Business Name

DONALD L VIDGER MD

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006