MICHAEL JEFFREY SIEGAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

MICHAEL JEFFREY

Last Name

SIEGAL

Suffix

DDS

Business Name

MICHAEL JEFFREY SIEGAL DDS

Original Issue Date

01/01/1998

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022