MARVIN S SIEGEL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060525

License Status

INACTIVE

Business

First Name

MARVIN S

Last Name

SIEGEL

Suffix

Business Name

MARVIN S SIEGEL DO

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

07/31/1987

City

PHOENIX

State

Zip

85015

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006