RONALD G SEVERINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034698

License Status

CANCELLED

Business

First Name

RONALD

Middle

Last Name

SEVERINO

Suffix

Business Name

RONALD G SEVERINO MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1999

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006