BRYAN CHARLES SIEGFRIED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

BRYAN

Middle

CHARLES

Last Name

SIEGFRIED

Suffix

Business Name

BRYAN CHARLES SIEGFRIED MD

Original Issue Date

05/09/2002

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023