GARY M SIEGELMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077314

License Status

NOT RENEWED

Business

First Name

GARY M

Last Name

SIEGELMAN

Suffix

Business Name

GARY M SIEGELMAN MD

Original Issue Date

07/09/1988

Effective Date

07/09/1988

Expiration Date

07/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2007