JEFFREY P CHISDAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046343

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

CHISDAK

Business Name

JEFFREY P CHISDAK

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006