CHANTAL TAPE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166077

License Status

ACTIVE

Business

Title

First Name

CHANTAL

Last Name

TAPE

Business Name

CHANTAL TAPE MD

Original Issue Date

07/22/2023

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

PROVIDENCE

State

Zip

02907

Ever Disciplined

LastModifiedDate

04/29/2025