CHRISTINE LYNN CARQUEVILLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132375

License Status

NOT RENEWED

Business

Title

First Name

CHRISTINE

Middle

LYNN

Last Name

CARQUEVILLE

Business Name

CHRISTINE LYNN CARQUEVILLE MD

Original Issue Date

04/11/2013

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2017