JUSTINE D SEIDENFELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

JUSTINE

Middle

Last Name

SEIDENFELD

Business Name

JUSTINE D SEIDENFELD MD

Original Issue Date

06/15/2019

Effective Date

06/15/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021