MARK ALAN CHAPMAN MD - Medical Doctor License in Illinois | # 125059656

MARK ALAN CHAPMAN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059656

License Status

CANCELLED

Business

N

Title

MD

First Name

MARK

Middle

ALAN

Last Name

CHAPMAN

Business Name

MARK ALAN CHAPMAN MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

04/22/2011