LESTELLA DOROTHY BELL BIVENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166568

License Status

ACTIVE

Business

Title

First Name

LESTELLA

Middle

DOROTHY BELL

Last Name

BIVENS

Business Name

LESTELLA DOROTHY BELL BIVENS MD

Original Issue Date

08/17/2023

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2023