DANNIE WADE SIEBEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086654

License Status

ACTIVE

Business

Title

First Name

DANNIE

Middle

WADE

Last Name

SIEBEN

Business Name

DANNIE WADE SIEBEN MD

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

06/24/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2025