JEFFREY P CHISDAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116208

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

CHISDAK

Business Name

JEFFREY P CHISDAK

Original Issue Date

06/13/2006

Effective Date

07/09/2008

Expiration Date

07/31/2011

City

SAN DIEGO

State

Zip

92138

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/14/2011