THOMAS KODIAK DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003661

License Status

INACTIVE

Business

First Name

THOMAS

Last Name

KODIAK

Suffix

Business Name

THOMAS KODIAK DC

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

07/31/1987

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

09/21/2006