MARY ELEANOR HEGSTROM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134967

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

ELEANOR

Last Name

HEGSTROM

Business Name

MARY ELEANOR HEGSTROM DO

Original Issue Date

04/10/2014

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2023