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*****72

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

Last Name

IVEY-BROWN

Business Name

JACQUELINE R IVEY-BROWN MD

Original Issue Date

04/29/2008

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020