JENNIFER R CHAPMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102807

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

CHAPMAN

Business Name

JENNIFER R CHAPMAN

Original Issue Date

06/23/2000

Effective Date

06/23/2000

Expiration Date

07/31/2005

City

LA CROSSE

State

Zip

54601

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006