ELLIOTT WOLF CHIDECKEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043633

License Status

NOT RENEWED

Business

Title

First Name

ELLIOTT

Middle

WOLF

Last Name

CHIDECKEL

Business Name

ELLIOTT WOLF CHIDECKEL MD

Original Issue Date

08/10/1970

Effective Date

08/10/1970

Expiration Date

07/01/1972

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

02/10/2012