JASON MICHAEL RAZDIK Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054580

License Status

CANCELLED

Business

First Name

JASON

Middle

MICHAEL

Last Name

RAZDIK

Business Name

JASON MICHAEL RAZDIK

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

06/22/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/11/2009

Case Number

2009010654

Action

Suspension

Discipline Start Date

08/13/2012

Discipline Reason

due to a violation of a Care, Counseling and Treatment Agreement.