JASON DOMINICK CHODAKOWSKI MD - Medical Doctor License in Illinois | # 125068312

JASON DOMINICK CHODAKOWSKI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068312

License Status

CANCELLED

Business

N

Title

MD

First Name

JASON

Middle

DOMINICK

Last Name

CHODAKOWSKI

Business Name

JASON DOMINICK CHODAKOWSKI MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

05/11/2016