STEPHANIE DANIELLE IVINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161121

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

DANIELLE

Last Name

IVINS

Business Name

STEPHANIE DANIELLE IVINS MD

Original Issue Date

06/30/2022

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

RIVERWOODS

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

06/01/2023