RICHARD SCOTT SIEGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

RICHARD SCOTT

Last Name

SIEGEL

Suffix

Business Name

RICHARD SCOTT SIEGEL MD

Original Issue Date

03/06/2002

Effective Date

03/06/2002

Expiration Date

07/31/2008

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020