GERALD W SIELAFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

GERALD W

Last Name

SIELAFF

Suffix

Business Name

GERALD W SIELAFF MD

Original Issue Date

05/13/1983

Effective Date

05/13/1983

Expiration Date

07/31/1996

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006