AUTUMN EVA BERNICKY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162853

License Status

ACTIVE

Business

Title

First Name

AUTUMN

Middle

EVA

Last Name

BERNICKY

Business Name

AUTUMN EVA BERNICKY DO

Original Issue Date

11/07/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

04/11/2023