KAYLA NICOLE CHAPMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

NICOLE

Last Name

CHAPMAN

Business Name

KAYLA NICOLE CHAPMAN

Original Issue Date

10/04/2016

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020