ANTHONY D CHAMBERS PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000784

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

CHAMBERS

Suffix

PA-C

Business Name

ANTHONY D CHAMBERS PA-C

Original Issue Date

02/17/1996

Effective Date

02/17/1996

Expiration Date

03/01/2004

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/09/2006