Dr. MARK KENNETH WIDSTROM
Medical Board - 35.Doctor Of Medicine
Ohio 35.071579 Inactive
This Ohio license was held by Dr. MARK KENNETH WIDSTROM. The license is no longer active. It was granted on 10/25/1996 and expired on 10/01/2001
LICENSE DETAILS
- License Number: 35.071579
- Category: 35.Doctor of Medicine
- Status: Inactive
- Date Granted: 10/25/1996 (almost 30 years ago)
- Expiry Date: 10/01/2001 (almost 25 years ago)
LOCATIONS
A Practice Address
10 MEDICAL OPERATIONS MSSQ, USAF ACADEMY, CO 80840