STACEY LYNN CHAMBERLAIN MD - Medical Doctor License in Illinois | # 125045581

STACEY LYNN CHAMBERLAIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045581

License Status

EXPIRED

Business

N

First Name

STACEY

Middle

LYNN

Last Name

CHAMBERLAIN

Suffix

MD

Business Name

STACEY LYNN CHAMBERLAIN MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2007

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007