KATHERINE MARIE CHAPLIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001479

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

MARIE

Last Name

CHAPLIN

Business Name

KATHERINE MARIE CHAPLIN

Original Issue Date

11/08/2000

Effective Date

11/08/2000

Expiration Date

03/01/2006

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

10/09/2006