JACQUELENE CHRISTINE CHILDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

Title

First Name

JACQUELENE

Middle

CHRISTINE

Last Name

CHILDS

Business Name

JACQUELENE CHRISTINE CHILDS MD

Original Issue Date

12/13/2013

Effective Date

12/13/2013

Expiration Date

07/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014