JASON G CHAMBERLIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036556

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

CHAMBERLIN

Suffix

Business Name

JASON G CHAMBERLIN DO

Original Issue Date

06/10/1997

Effective Date

06/10/1997

Expiration Date

06/30/2000

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006