THOMAS A SYVERUD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000721

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

SYVERUD

Business Name

THOMAS A SYVERUD

Original Issue Date

06/04/2007

Effective Date

06/04/2007

Expiration Date

07/03/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/03/2007