AMBER MARIE SERVATIUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

AMBER

Middle

MARIE

Last Name

SERVATIUS

Suffix

Business Name

AMBER MARIE SERVATIUS MD

Original Issue Date

08/03/2011

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023