JACQUELINE R WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

WHITE

Suffix

Business Name

JACQUELINE R WHITE MD

Original Issue Date

10/26/1993

Effective Date

08/04/2011

Expiration Date

07/31/2014

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2011004302

Action

Summary Suspension

Discipline Start Date

10/23/2012

Discipline End Date

11/26/2012

Discipline Reason

due to mental illness which results in the inability to practice with reasonable judgment, safety and skill.