JACQUELINE BARDWELL MD - Medical Doctor License in Illinois | # 125017158

JACQUELINE BARDWELL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017158

License Status

EXPIRED

Business

N

First Name

JACQUELINE

Last Name

BARDWELL

Suffix

MD

Business Name

JACQUELINE BARDWELL MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

06/25/1986

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006