JERRY GLENN SEIDEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033877

License Status

NOT RENEWED

Business

First Name

JERRY GLENN

Last Name

SEIDEL

Suffix

Business Name

JERRY GLENN SEIDEL MD

Original Issue Date

12/09/1955

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011