MARY JULIANA WIDMEYER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065846

License Status

EXPIRED

Business

Title

First Name

MARY

Middle

JULIANA

Last Name

WIDMEYER

Business Name

MARY JULIANA WIDMEYER MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

City

ROCHESTER

State

Zip

55902

County

MINNESOTA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015