CARLA J SIEGFRIED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086190

License Status

NOT RENEWED

Business

First Name

CARLA J

Last Name

SIEGFRIED

Suffix

Business Name

CARLA J SIEGFRIED MD

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

07/31/2005

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006