CONNIE D CHAPPEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071002

License Status

ACTIVE

Business

First Name

CONNIE D

Last Name

CHAPPEL

Suffix

Business Name

CONNIE D CHAPPEL MD

Original Issue Date

06/24/1985

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023

Case Number

2017003254

Action

Suspension

Discipline Start Date

06/16/2017

Discipline End Date

06/26/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/27/2017.