DANE MICHAEL CHAPMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

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

County

HANCOCK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021