Janet Vivian Widerspan
ExpiredCalifornia license A64617
License
- Licensed by
- Medical Board of California
- License number
- A64617
- Status
- Expired (Delinquent)
- First issued
- March 6, 1998
- Expired
- January 31, 2026
- License holder
- Janet Vivian Widerspan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
PO Box 212
Massapequa Park, NY 11762-0212
Massapequa Park, NY 11762-0212
Nassau County