SCOTT C SIEBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032461

License Status

EXPIRED

Business

First Name

SCOTT

Middle

Last Name

SIEBERG

Suffix

Business Name

SCOTT C SIEBERG MD

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

06/30/1998

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/23/2013