JORDAN CLAIRE CARQUEVILLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

CLAIRE

Last Name

CARQUEVILLE

Business Name

JORDAN CLAIRE CARQUEVILLE MD

Original Issue Date

04/16/2012

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023