ERIC WIDEBURG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166230

License Status

ACTIVE

Business

Title

First Name

ERIC

Last Name

WIDEBURG

Business Name

ERIC WIDEBURG DO

Original Issue Date

07/31/2023

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

WAUWATOSA

State

Zip

53226

Ever Disciplined

LastModifiedDate

07/05/2023