BERNADETTE MIETUS STEVENSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

BERNADETTE

Middle

MIETUS

Last Name

STEVENSON

Suffix

Business Name

BERNADETTE MIETUS STEVENSON MD

Original Issue Date

03/25/2010

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023