RALPH K CHAPMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

RALPH K

Last Name

CHAPMAN

Business Name

RALPH K CHAPMAN

Original Issue Date

08/14/1986

Effective Date

11/22/2021

Expiration Date

09/30/2024

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025