JOHN WALTER SIEGAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

JOHN WALTER

Last Name

SIEGAL

Suffix

DDS

Business Name

JOHN WALTER SIEGAL DDS

Original Issue Date

10/28/1981

Effective Date

10/28/1981

Expiration Date

06/01/1982

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005