LOREN JAY CHASSELS 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

LOREN

Middle

JAY

Last Name

CHASSELS

Business Name

LOREN JAY CHASSELS

Original Issue Date

08/02/2007

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

ALHAMBRA

State

Zip

62001

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020