EUGENE LAWRENCE SEVERINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046336

License Status

NOT RENEWED

Business

First Name

EUGENE LAWRENCE

Last Name

SEVERINO

Suffix

Business Name

EUGENE LAWRENCE SEVERINO MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

Expiration Date

07/31/1987

City

PEORIA

State

Zip

85345

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006