CIA-MATTAE SAUNSIDERAE J SEVIER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043486

License Status

EXPIRED

Business

Title

First Name

CIA-MATTAE

Middle

SAUNSIDERAE J

Last Name

SEVIER

Business Name

CIA-MATTAE SAUNSIDERAE J SEVIER MD

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

07/31/2004

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006