LISA E SIEGEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043980

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

SIEGEL

Business Name

LISA E SIEGEL

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/17/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006