MICHAEL RENE CHARDACK MD - Medical Doctor License in Utah | # 036155352

MICHAEL RENE CHARDACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155352

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MICHAEL

Middle

RENE

Last Name

CHARDACK

Business Name

MICHAEL RENE CHARDACK MD

Original Issue Date

01/20/2021

Effective Date

01/20/2021

Expiration Date

07/31/2023

State

UT

Ever Disciplined

N

LastModifiedDate

11/30/2023