CASANA RAE SIEBERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

CASANA

Middle

RAE

Last Name

SIEBERT

Business Name

CASANA RAE SIEBERT MD

Original Issue Date

11/22/2013

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017