WILFRID JEAN JACQUES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

WILFRID JEAN

Last Name

JACQUES

Suffix

Business Name

WILFRID JEAN JACQUES MD

Original Issue Date

01/01/1997

Effective Date

02/25/2021

Expiration Date

07/31/2023

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023