BARRY P SIEGEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

NOT RENEWED

Business

First Name

BARRY P

Last Name

SIEGEL OD

Business Name

BARRY P SIEGEL OD

Original Issue Date

06/04/1996

Effective Date

02/05/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022