JAMES M SEVERSON III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067207

License Status

NOT RENEWED

Business

First Name

JAMES M

Last Name

SEVERSON III

Suffix

Business Name

JAMES M SEVERSON III MD

Original Issue Date

08/02/1983

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021