JACQUELINE T BERNARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

BERNARD

Suffix

Business Name

JACQUELINE T BERNARD MD

Original Issue Date

07/25/2006

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017