PHILIP SIEGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048351

License Status

NOT RENEWED

Business

First Name

PHILIP

Last Name

SIEGEL

Suffix

Business Name

PHILIP SIEGEL MD

Original Issue Date

09/19/1973

Effective Date

09/19/1973

Expiration Date

07/01/1974

City

SAUSALITO

State

Zip

94965

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006