ELENE PESTVENIDZE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086293

License Status

ACTIVE

Business

Title

First Name

ELENE

Last Name

PESTVENIDZE

Business Name

ELENE PESTVENIDZE MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2025