MICHAEL SIEGEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

Title

DDS

First Name

MICHAEL

Last Name

SIEGEL

Business Name

MICHAEL SIEGEL DDS

Original Issue Date

10/24/1991

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024