JACK R CHAMBERLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

JACK R

Last Name

CHAMBERLIN

Suffix

Business Name

JACK R CHAMBERLIN MD

Original Issue Date

12/07/1998

Effective Date

12/07/1998

Expiration Date

07/31/2005

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020