PAUL EDWARD SEIFERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

PAUL EDWARD

Last Name

SEIFERT

Suffix

Business Name

PAUL EDWARD SEIFERT MD

Original Issue Date

01/01/1997

Effective Date

08/17/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021