CLYDE ROZELL CHAPMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

CLYDE

Middle

ROZELL

Last Name

CHAPMAN

Suffix

Business Name

CLYDE ROZELL CHAPMAN MD

Original Issue Date

01/06/2010

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017