TODD H CHAFFIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078881

License Status

ACTIVE

Business

First Name

TODD H

Last Name

CHAFFIN

Suffix

Business Name

TODD H CHAFFIN MD

Original Issue Date

05/19/1989

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/17/2023

Case Number

2015002568

Action

Fine

Discipline Start Date

09/14/2015

Discipline Reason

for failing to adequately supervise an unlicensed individual who was employed at Red Ember Weight Loss & Wellness Center, Ltd.