GLENN W CHAMBERLIN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

GLENN W

Last Name

CHAMBERLIN JR

Suffix

Business Name

GLENN W CHAMBERLIN JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011