DAVID FREDERICK WIDITZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166942

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

FREDERICK

Last Name

WIDITZ

Business Name

DAVID FREDERICK WIDITZ MD

Original Issue Date

09/08/2023

Effective Date

09/08/2023

Expiration Date

07/31/2026

City

MOUNT LAUREL

State

Zip

08054

Ever Disciplined

LastModifiedDate

09/09/2025