MICHAEL DENNIS SIEGEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

MICHAEL DENNIS

Last Name

SIEGEL

Suffix

Business Name

MICHAEL DENNIS SIEGEL MD

Original Issue Date

11/08/1983

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023