BONITA H SIEGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105246

License Status

NOT RENEWED

Business

First Name

BONITA

Middle

Last Name

SIEGEL

Suffix

Business Name

BONITA H SIEGEL MD

Original Issue Date

07/19/2001

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

BROOKLYN

State

Zip

11238

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014