GREGORY TODD SIEGEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

TODD

Last Name

SIEGEL

Business Name

GREGORY TODD SIEGEL MD

Original Issue Date

01/09/2019

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023