DANIEL SCOTT SIEGAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136429

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

SCOTT

Last Name

SIEGAL

Business Name

DANIEL SCOTT SIEGAL MD

Original Issue Date

09/08/2014

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

ANN ARBOR

State

Zip

48104

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021