JORDAN CLAIRE CARQUEVILLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130085

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

CLAIRE

Last Name

CARQUEVILLE

Business Name

JORDAN CLAIRE CARQUEVILLE MD

Original Issue Date

04/16/2012

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/26/2023