MARK DOUGLAS CHAMBERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043929

License Status

EXPIRED

Business

First Name

MARK

Middle

DOUGLAS

Last Name

CHAMBERS

Suffix

Business Name

MARK DOUGLAS CHAMBERS MD

Original Issue Date

05/21/2002

Effective Date

05/21/2002

Expiration Date

05/20/2003

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006