MICHAEL J SIEGEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078808

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

Last Name

SIEGEL

Business Name

MICHAEL J SIEGEL DO

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/25/2021