GORDON J SIEGEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059430

License Status

ACTIVE

Business

First Name

GORDON J

Last Name

SIEGEL

Suffix

Business Name

GORDON J SIEGEL MD

Original Issue Date

09/18/1979

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2023