ALLEN MARTIN SIEGEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

ALLEN MARTIN

Last Name

SIEGEL

Suffix

Business Name

ALLEN MARTIN SIEGEL MD

Original Issue Date

01/01/1997

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023