KELLY C CHAMBERLAIN - Medical Doctor License in Illinois | # 125047394

KELLY C CHAMBERLAIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047394

License Status

EXPIRED

Business

N

First Name

KELLY

Middle

C

Last Name

CHAMBERLAIN

Business Name

KELLY C CHAMBERLAIN

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2008

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

06/26/2008