EILEEN D SIEGEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

EILEEN

Middle

Last Name

SIEGEL

Business Name

EILEEN D SIEGEL

Original Issue Date

08/24/2017

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2026