TIMOTHY SIEBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Last Name

SIEBACH

Business Name

TIMOTHY SIEBACH MD

Original Issue Date

11/12/2024

Effective Date

11/12/2024

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/12/2024