JENNIFER L KOLODCHAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

KOLODCHAK

Business Name

JENNIFER L KOLODCHAK

Original Issue Date

10/20/2000

Effective Date

10/20/2000

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008