JAMES F CHAMBLISS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

JAMES F

Last Name

CHAMBLISS JR

Suffix

Business Name

JAMES F CHAMBLISS JR MD

Original Issue Date

08/15/2005

Effective Date

08/15/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011