JACQUELINE FAIRCHILD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104216

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

FAIRCHILD

Suffix

Business Name

JACQUELINE FAIRCHILD MD

Original Issue Date

02/16/2001

Effective Date

10/05/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

01/14/2021