AMANDA BLANCHE SIEGEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145053

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

BLANCHE

Last Name

SIEGEL

Business Name

AMANDA BLANCHE SIEGEL MD

Original Issue Date

02/06/2018

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2023