JACQUELENE CHRISTINE CHILDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134157

License Status

NOT RENEWED

Business

Title

First Name

JACQUELENE

Middle

CHRISTINE

Last Name

CHILDS

Business Name

JACQUELENE CHRISTINE CHILDS MD

Original Issue Date

11/13/2013

Effective Date

11/13/2013

Expiration Date

07/31/2014

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014