TODD SIDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

CANCELLED

Business

First Name

TODD

Last Name

SIDER

Suffix

Business Name

TODD SIDER MD

Original Issue Date

05/24/1985

Effective Date

05/24/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006