JACQUELINE YVONN GERVAIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057878

License Status

ACTIVE

Business

First Name

JACQUELINE YVONN

Last Name

GERVAIS

Suffix

Business Name

JACQUELINE YVONN GERVAIS MD

Original Issue Date

10/23/1978

Effective Date

08/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

08/19/2023