ANGELA K WIDDER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

ANGELA

Middle

Last Name

WIDDER

Business Name

ANGELA K WIDDER DO

Original Issue Date

08/20/2009

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

BURLINGTON

State

Zip

08016

County

NEW JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014