J DAVID SIEGFRIED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

J DAVID

Last Name

SIEGFRIED

Suffix

Business Name

J DAVID SIEGFRIED MD

Original Issue Date

01/01/1997

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021