MICHAEL JEFFREY SIEGAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016448

License Status

NOT RENEWED

Business

First Name

MICHAEL JEFFREY

Last Name

SIEGAL

Suffix

DDS

Business Name

MICHAEL JEFFREY SIEGAL DDS

Original Issue Date

07/14/1978

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022