CHANDRA LEIGH HODGMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

CHANDRA

Middle

LEIGH

Last Name

HODGMAN

Business Name

CHANDRA LEIGH HODGMAN

Original Issue Date

12/21/2009

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020