CHANDRA LEIGH HODGMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003648

License Status

NOT RENEWED

Business

First Name

CHANDRA

Middle

LEIGH

Last Name

HODGMAN

Business Name

CHANDRA LEIGH HODGMAN

Original Issue Date

10/22/2009

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020