DANE MICHAEL CHAPMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143758

License Status

INACTIVE

Business

Title

First Name

DANE

Middle

MICHAEL

Last Name

CHAPMAN

Business Name

DANE MICHAEL CHAPMAN MD

Original Issue Date

07/05/2017

Effective Date

07/05/2017

Expiration Date

09/30/2020

City

SPRING CITY

State

Zip

84662

Ever Disciplined

LastModifiedDate

04/05/2020