MATTHEW BERNARD SIEGEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054173

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

BERNARD

Last Name

SIEGEL

Suffix

Business Name

MATTHEW BERNARD SIEGEL MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011