AUTUMN PATRICE STEVENSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085142

License Status

ACTIVE

Business

Title

First Name

AUTUMN

Middle

PATRICE

Last Name

STEVENSON

Business Name

AUTUMN PATRICE STEVENSON MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/21/2025