ERIC M CHUMBLEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033763

License Status

EXPIRED

Business

First Name

ERIC

Middle

Last Name

CHUMBLEY

Business Name

ERIC M CHUMBLEY

Original Issue Date

07/07/1995

Effective Date

07/07/1995

Expiration Date

07/06/1998

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006