LANCE K CHMURA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000803

License Status

NOT RENEWED

Business

First Name

LANCE K

Last Name

CHMURA

Business Name

LANCE K CHMURA

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

03/01/1998

City

MILWAUKEE

State

Zip

53223

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1996010649

Action

Suspension

Discipline Start Date

10/23/1997

Discipline Reason

Disciplined in Texas.