JACQUELINE D DAVID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

JACQUELINE D

Last Name

DAVID

Suffix

Business Name

JACQUELINE D DAVID MD

Original Issue Date

06/21/1983

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023