SCOTT WILLIAM SIEGNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

WILLIAM

Last Name

SIEGNER

Suffix

Business Name

SCOTT WILLIAM SIEGNER MD

Original Issue Date

06/15/2000

Effective Date

04/21/2010

Expiration Date

07/31/2011

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011