AVA GANSON CHAPPELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

AVA

Middle

GANSON

Last Name

CHAPPELL

Business Name

AVA GANSON CHAPPELL MD

Original Issue Date

08/07/2019

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023