CHANTAL TAPE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

CHANTAL

Last Name

TAPE

Business Name

CHANTAL TAPE MD

Original Issue Date

06/21/2024

Effective Date

06/21/2024

Expiration Date

07/31/2026

City

PROVIDENCE

State

Zip

02907

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026