GLENN N SIEGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

GLENN N

Last Name

SIEGEL

Suffix

Business Name

GLENN N SIEGEL MD

Original Issue Date

04/12/1990

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017