SUSANNA BENAVIDEZ CHAPMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011933

License Status

ACTIVE

Business

First Name

SUSANNA

Middle

BENAVIDEZ

Last Name

CHAPMAN

Business Name

SUSANNA BENAVIDEZ CHAPMAN

Original Issue Date

11/26/2025

Effective Date

11/26/2025

Expiration Date

03/01/2026

City

RIVERTON

State

Zip

84065

Ever Disciplined

LastModifiedDate

12/03/2025