SIMEON A SEVANDAL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

SIMEON A

Last Name

SEVANDAL JR

Suffix

Business Name

SIMEON A SEVANDAL JR MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60624

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

11/17/2014