MARK A SEVERTSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090459

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

SEVERTSON

Suffix

Business Name

MARK A SEVERTSON MD

Original Issue Date

04/01/1995

Effective Date

04/01/1995

Expiration Date

07/31/1999

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006