FREDERICK STEPHEN SIERLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

STEPHEN

Last Name

SIERLES

Suffix

Business Name

FREDERICK STEPHEN SIERLES MD

Original Issue Date

08/03/2011

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/01/2017