JACQUELINE BARDWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071838

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

BARDWELL

Suffix

Business Name

JACQUELINE BARDWELL MD

Original Issue Date

10/10/1985

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

ROBBINS

State

Zip

60472

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014