CIA-MATTAE SAUNSIDERAE J SEVIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

CIA-MATTAE

Middle

SAUNSIDERAE J

Last Name

SEVIER

Business Name

CIA-MATTAE SAUNSIDERAE J SEVIER MD

Original Issue Date

09/19/2007

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023