AULTON DALE CHISUM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062434

License Status

NOT RENEWED

Business

First Name

AULTON DALE

Last Name

CHISUM

Suffix

Business Name

AULTON DALE CHISUM DO

Original Issue Date

07/01/1981

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

OLATHE

State

Zip

66062

County

KANSAS

Ever Disciplined

LastModifiedDate

11/01/2017