AJAY RAMA CHAPA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051112

License Status

EXPIRED

Business

First Name

AJAY

Middle

RAMA

Last Name

CHAPA

Suffix

Business Name

AJAY RAMA CHAPA MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009