KELLY C CHAMBERLAIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047394

License Status

EXPIRED

Business

First Name

KELLY

Middle

Last Name

CHAMBERLAIN

Business Name

KELLY C CHAMBERLAIN

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

06/26/2008