MARTHA BISSING SEVENICH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076139

License Status

CANCELLED

Business

Title

First Name

MARTHA

Middle

BISSING

Last Name

SEVENICH

Business Name

MARTHA BISSING SEVENICH MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

12/11/2024