SUZANNE DONICK SIEGEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

SUZANNE DONICK

Last Name

SIEGEL

Business Name

SUZANNE DONICK SIEGEL

Original Issue Date

08/15/1996

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020