RONALD CHEDIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

RONALD

Last Name

CHEDIAK

Suffix

Business Name

RONALD CHEDIAK MD

Original Issue Date

03/24/2003

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023