MICHAEL J SEVERINO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023456

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

SEVERINO

Suffix

Business Name

MICHAEL J SEVERINO MD

Original Issue Date

05/01/1989

Effective Date

05/01/1989

Expiration Date

06/22/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006