Jacqueline M Champlain

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125059551

Status

Inactive (Cancelled)

First issued

July 1, 2011

Expired

June 30, 2014

License holder

Jacqueline M Champlain

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Family Medicine

Current term began

07/01/2011

Other Illinois licenses under this name

• IL
  Jacqueline M Champlain

  License 036134052

  Licensed Physician and Surgeon (Medical Board)
  Expired

  Chicago, IL

  Expired Jul 31, 2017
• IL
  Jacqueline M Champlain

  License 049158310

  Pharmacy Technician
  Expired

  Chicago, IL

  Expired Mar 31, 2006
• IL
  Jacqueline M Champlain

  License 476409073

  Licensed Real Estate Salesperson
  Expired

  Chicago, IL

  Expired Apr 30, 2007
• IL
  Jacqueline M Champlain

  License 33*****14

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Hinsdale, IL

  Expired Jul 31, 2017

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