LISA DIANE CHODAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100337

License Status

NOT RENEWED

Business

First Name

LISA

Middle

DIANE

Last Name

CHODAK

Suffix

Business Name

LISA DIANE CHODAK MD

Original Issue Date

06/16/1999

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2015

Case Number

2015002541

Action

Refuse To Renew

Discipline Start Date

04/30/2015

Discipline Reason

due to a sister-state discipline in the state of California.