CHRISTINE LYNN CARQUEVILLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058118

License Status

CANCELLED

Business

Title

First Name

CHRISTINE

Middle

LYNN

Last Name

CARQUEVILLE

Business Name

CHRISTINE LYNN CARQUEVILLE MD

Original Issue Date

07/11/2011

Effective Date

07/11/2011

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

02/18/2011