MAX K CHAPMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000719

License Status

NOT RENEWED

Business

First Name

MAX

Middle

Last Name

CHAPMAN

Business Name

MAX K CHAPMAN

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/2008

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/23/2008