VICKI L SEIDENBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

VICKI L

Last Name

SEIDENBERG

Business Name

VICKI L SEIDENBERG

Original Issue Date

08/17/1993

Effective Date

08/17/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006