OLIVER BELLEVUE MD - Medical Doctor License in Illinois | # 130001224

OLIVER BELLEVUE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001224

License Status

EXPIRED

Business

N

Title

MD

First Name

OLIVER

Last Name

BELLEVUE

Business Name

OLIVER BELLEVUE MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

07/31/2018

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

12/04/2018