ANGELA K WIDDER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053090

License Status

CANCELLED

Business

Title

First Name

ANGELA

Middle

Last Name

WIDDER

Business Name

ANGELA K WIDDER DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PITTSBORO

State

Zip

27312

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/23/2007