AVA GANSON CHAPPELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068971

License Status

CANCELLED

Business

Title

First Name

AVA

Middle

GANSON

Last Name

CHAPPELL

Business Name

AVA GANSON CHAPPELL MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

06/01/2016