BERNADETTE MIETUS STEVENSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125272

License Status

ACTIVE

Business

First Name

BERNADETTE

Middle

MIETUS

Last Name

STEVENSON

Suffix

Business Name

BERNADETTE MIETUS STEVENSON MD

Original Issue Date

03/23/2010

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2023