SEAN PHILLIP ZIVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

SEAN

Middle

PHILLIP

Last Name

ZIVIN

Business Name

SEAN PHILLIP ZIVIN MD

Original Issue Date

10/06/2011

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

MCHENRY

State

Zip

60050

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021