ROBERT JOSEPH CHAMBERLAIN JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

JOSEPH

Last Name

CHAMBERLAIN

Suffix

Business Name

ROBERT JOSEPH CHAMBERLAIN JR

Original Issue Date

12/09/1999

Effective Date

12/09/1999

Expiration Date

07/31/2005

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006