GERALD WALTER CHODAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

GERALD WALTER

Last Name

CHODAK

Suffix

Business Name

GERALD WALTER CHODAK MD

Original Issue Date

06/23/1982

Effective Date

02/16/2018

Expiration Date

09/30/2020

City

HIGHLAND BEACH

State

Zip

33487

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021