JEFFERSON HOWARD CHAMBERS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

JEFFERSON

Middle

HOWARD

Last Name

CHAMBERS

Business Name

JEFFERSON HOWARD CHAMBERS DO

Original Issue Date

10/23/2017

Effective Date

10/23/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021