EUGENE HERNANDEZ SIEGEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039727

License Status

INACTIVE

Business

First Name

EUGENE HERNANDEZ

Last Name

SIEGEL

Suffix

Business Name

EUGENE HERNANDEZ SIEGEL MD

Original Issue Date

05/25/1965

Effective Date

05/25/1965

Expiration Date

07/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006