KELLI A CHAMBERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

CHAMBERS

Business Name

KELLI A CHAMBERS

Original Issue Date

09/14/2009

Effective Date

09/14/2009

Expiration Date

03/01/2010

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2010