ANITA MARIE SEIBOLD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055746

License Status

CANCELLED

Business

Title

First Name

ANITA

Middle

MARIE

Last Name

SEIBOLD

Business Name

ANITA MARIE SEIBOLD MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60646

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/27/2009