MYRON F SEIDEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110003

License Status

NOT RENEWED

Business

First Name

MYRON

Middle

Last Name

SEIDEL

Business Name

MYRON F SEIDEL

Original Issue Date

08/27/2003

Effective Date

08/27/2003

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006