THEODORE MICHAEL SIEGEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019218

License Status

ACTIVE

Business

First Name

THEODORE MICHAEL

Last Name

SIEGEL

Business Name

THEODORE MICHAEL SIEGEL

Original Issue Date

08/16/1984

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

08/13/2024