JACQUELINE R IVEY-BROWN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

Last Name

IVEY-BROWN

Business Name

JACQUELINE R IVEY-BROWN MD

Original Issue Date

07/23/2007

Effective Date

07/23/2007

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020