ERIC M CHUMBLEY - Medical Doctor License in Illinois | # 125033763

ERIC M CHUMBLEY

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033763

License Status

EXPIRED

Business

N

First Name

ERIC

Middle

M

Last Name

CHUMBLEY

Business Name

ERIC M CHUMBLEY

Original Issue Date

07/07/1995

Effective Date

07/07/1995

Expiration Date

07/06/1998

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006