SHERIDAN W CHUMLEY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001263

License Status

INACTIVE

Business

First Name

SHERIDAN

Middle

Last Name

CHUMLEY

Business Name

SHERIDAN W CHUMLEY

Original Issue Date

12/23/1999

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

AURORA

State

Zip

60563

County

COLORADO

Ever Disciplined

LastModifiedDate

12/09/2009