BRIAN SIEGAN HERST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

BRIAN

Middle

SIEGAN

Last Name

HERST

Suffix

Business Name

BRIAN SIEGAN HERST MD

Original Issue Date

10/10/2018

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023