SUZANNE DONICK SIEGEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030968

License Status

EXPIRED

Business

First Name

SUZANNE DONICK

Last Name

SIEGEL

Business Name

SUZANNE DONICK SIEGEL

Original Issue Date

05/04/1994

Effective Date

05/04/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006