MITCHELL SHERWIN BLIVAISS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055083

License Status

ACTIVE

Business

First Name

MITCHELL SHERWIN

Last Name

BLIVAISS

Suffix

Business Name

MITCHELL SHERWIN BLIVAISS MD

Original Issue Date

07/18/1977

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023