TIMOTHY S CHAMBERLAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

Last Name

CHAMBERLAIN

Business Name

TIMOTHY S CHAMBERLAIN MD

Original Issue Date

08/14/2000

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017