KEVIN MICHAEL WIDDIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

WIDDIS

Business Name

KEVIN MICHAEL WIDDIS

Original Issue Date

04/01/2022

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

HOFFMAN ESTATES

State

Zip

60169

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2025