GLENN N SIEGEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079811

License Status

INACTIVE

Business

First Name

GLENN N

Last Name

SIEGEL

Suffix

Business Name

GLENN N SIEGEL MD

Original Issue Date

03/27/1990

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

FAYETTEVILLE

State

Zip

72703

Ever Disciplined

LastModifiedDate

04/12/2017