JEREMY MICHAEL SEGAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JEREMY MICHAEL

Last Name

SEGAL

Suffix

Business Name

JEREMY MICHAEL SEGAL MD

Original Issue Date

07/11/1997

Effective Date

07/11/1997

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006