RICHARD H SIDELL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

RICHARD H

Last Name

SIDELL JR

Suffix

Business Name

RICHARD H SIDELL JR MD

Original Issue Date

01/01/1997

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017