STACEY LYNN CHAMBERLAIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045581

License Status

EXPIRED

Business

First Name

STACEY

Middle

LYNN

Last Name

CHAMBERLAIN

Suffix

Business Name

STACEY LYNN CHAMBERLAIN MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007