MICHAEL JOSEPH CHAMBLISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060992

License Status

NOT RENEWED

Business

First Name

MICHAEL JOSEPH

Last Name

CHAMBLISS

Suffix

Business Name

MICHAEL JOSEPH CHAMBLISS MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/2002

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006