MARIA TERESA SEVILLE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

MARIA TERESA

Last Name

SEVILLE

Business Name

MARIA TERESA SEVILLE

Original Issue Date

08/31/1992

Effective Date

08/31/1992

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011