BRIAN SIEGAN HERST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064011

License Status

EXPIRED

Business

First Name

BRIAN

Middle

SIEGAN

Last Name

HERST

Suffix

Business Name

BRIAN SIEGAN HERST MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/19/2017