ANTHONY JOSEPH SIEGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144275

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

JOSEPH

Last Name

SIEGEL

Business Name

ANTHONY JOSEPH SIEGEL MD

Original Issue Date

09/06/2017

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

PROSPECT

State

Zip

40059

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/30/2023