OLIVER BELLEVUE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001224

License Status

EXPIRED

Business

Title

First Name

OLIVER

Last Name

BELLEVUE

Business Name

OLIVER BELLEVUE MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

07/31/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

12/04/2018