JAMES J SIEGERT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057709

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

Last Name

SIEGERT

Business Name

JAMES J SIEGERT DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

03/24/2014