BARRY IRA SPIEGEL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104208

License Status

INACTIVE

Business

First Name

BARRY

Middle

IRA

Last Name

SPIEGEL

Suffix

Business Name

BARRY IRA SPIEGEL DO

Original Issue Date

02/16/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WAUKESHA

State

Zip

53188

Ever Disciplined

LastModifiedDate

11/12/2014

Case Number

2014007515

Action

Refuse To Renew

Discipline Start Date

10/17/2014

Discipline Reason

for sister state discipline in the State of Wisconsin.