JAN VODA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056258

License Status

NOT RENEWED

Business

First Name

JAN

Last Name

VODA

Suffix

Business Name

JAN VODA MD

Original Issue Date

12/16/1977

Effective Date

12/16/1977

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006