STEFANIE DRIESENGA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086141

License Status

ACTIVE

Business

Title

First Name

STEFANIE

Last Name

DRIESENGA

Business Name

STEFANIE DRIESENGA DO

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/31/2025