SCOTT A SIEGALL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093766

License Status

NOT RENEWED

Business

First Name

SCOTT A

Last Name

SIEGALL

Business Name

SCOTT A SIEGALL

Original Issue Date

07/25/1996

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MUNSTER

State

Zip

46321

Ever Disciplined

LastModifiedDate

08/24/2012