NICHOLAS ANDREW SEVER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ANDREW

Last Name

SEVER

Business Name

NICHOLAS ANDREW SEVER

Original Issue Date

09/18/2015

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020