MARC EVAN SIEGEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026852

License Status

EXPIRED

Business

First Name

MARC EVAN

Last Name

SIEGEL

Suffix

Business Name

MARC EVAN SIEGEL MD

Original Issue Date

05/22/1991

Effective Date

05/22/1991

Expiration Date

06/23/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006