ELAINE C SIEGFRIED MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000136

License Status

EXPIRED

Business

First Name

ELAINE C

Last Name

SIEGFRIED

Suffix

Business Name

ELAINE C SIEGFRIED MD

Original Issue Date

06/12/1990

Effective Date

06/12/1990

Expiration Date

08/18/1990

City

RICHMOND HEIGHTS

State

Zip

63117

County

MISSOURI

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/25/2006