JODI MCQUILLEN ROQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

JODI

Middle

MCQUILLEN

Last Name

ROQUE

Business Name

JODI MCQUILLEN ROQUE MD

Original Issue Date

09/16/2021

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023