DANIEL F CHAMBERLAIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049028

License Status

INACTIVE

Business

First Name

DANIEL F

Last Name

CHAMBERLAIN

Suffix

Business Name

DANIEL F CHAMBERLAIN MD

Original Issue Date

03/26/1974

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/08/2014