MARK A SEVERTSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027704

License Status

EXPIRED

Business

First Name

MARK A

Last Name

SEVERTSON

Suffix

Business Name

MARK A SEVERTSON MD

Original Issue Date

04/21/1992

Effective Date

04/21/1992

Expiration Date

06/30/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006