BRUCE HARRY CHAMBERLAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

HARRY

Last Name

CHAMBERLAIN

Business Name

BRUCE HARRY CHAMBERLAIN MD

Original Issue Date

09/17/2018

Effective Date

09/17/2018

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021