SUZANNE DONICK SIEGEL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

SUZANNE DONICK

Last Name

SIEGEL

Business Name

SUZANNE DONICK SIEGEL

Original Issue Date

05/10/2022

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60069

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023