JASON DOMINICK CHODAKOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068312

License Status

CANCELLED

Business

Title

First Name

JASON

Middle

DOMINICK

Last Name

CHODAKOWSKI

Business Name

JASON DOMINICK CHODAKOWSKI MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/11/2016