SCOTT A SIEGALL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

SCOTT A

Last Name

SIEGALL

Business Name

SCOTT A SIEGALL

Original Issue Date

08/23/1996

Effective Date

08/23/1996

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006