MARK ALAN CHAPMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059656

License Status

CANCELLED

Business

Title

First Name

MARK

Middle

ALAN

Last Name

CHAPMAN

Business Name

MARK ALAN CHAPMAN MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/22/2011