BARRY GILBERT SIEGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057914

License Status

NOT RENEWED

Business

Title

First Name

BARRY

Middle

GILBERT

Last Name

SIEGEL

Business Name

BARRY GILBERT SIEGEL MD

Original Issue Date

10/23/1978

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

BIRMINGHAM

State

Zip

48009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1985000586

Action

Probation

Discipline Start Date

04/12/1988

Discipline End Date

06/04/1993