JACQUELENE CHRISTINE CHILDS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059499

License Status

CANCELLED

Business

Title

First Name

JACQUELENE

Middle

CHRISTINE

Last Name

CHILDS

Business Name

JACQUELENE CHRISTINE CHILDS MD

Original Issue Date

06/20/2011

Effective Date

06/20/2011

Expiration Date

06/19/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/24/2011