JACQUELINE YVONN GERVAIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

JACQUELINE YVONN

Last Name

GERVAIS

Suffix

Business Name

JACQUELINE YVONN GERVAIS MD

Original Issue Date

01/01/1997

Effective Date

08/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2023