JACK R CHAMBERLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

JACK R

Last Name

CHAMBERLIN

Suffix

Business Name

JACK R CHAMBERLIN MD

Original Issue Date

08/31/1993

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023