CARMEN D CHASE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109223

License Status

ACTIVE

Business

First Name

CARMEN

Middle

Last Name

CHASE

Business Name

CARMEN D CHASE

Original Issue Date

05/13/2003

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/24/2023