CHRISTINE LYNN CARQUEVILLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

CHRISTINE

Middle

LYNN

Last Name

CARQUEVILLE

Business Name

CHRISTINE LYNN CARQUEVILLE MD

Original Issue Date

04/11/2013

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017