JAVIER FRANCISCO SEVILLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039796

License Status

CANCELLED

Business

First Name

JAVIER

Middle

FRANCISCO

Last Name

SEVILLA

Suffix

Business Name

JAVIER FRANCISCO SEVILLA MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006