ERIK E SIEVERTSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090728

License Status

NOT RENEWED

Business

First Name

ERIK E

Last Name

SIEVERTSEN

Suffix

Business Name

ERIK E SIEVERTSEN MD

Original Issue Date

05/23/1995

Effective Date

05/23/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006