JEFFREY SEVERINO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008367

License Status

NOT RENEWED

Business

First Name

JEFFREY

Last Name

SEVERINO

Business Name

JEFFREY SEVERINO

Original Issue Date

06/14/2021

Effective Date

06/14/2021

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022