JULIET AUDREY SIEGEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

JULIET

Middle

AUDREY

Last Name

SIEGEL

Suffix

DDS

Business Name

JULIET AUDREY SIEGEL DDS

Original Issue Date

03/11/2008

Effective Date

03/11/2008

Expiration Date

09/30/2009

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009