THEODORE J SIEGEL Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002490

License Status

INACTIVE

Business

First Name

THEODORE J

Last Name

SIEGEL

Business Name

THEODORE J SIEGEL

Original Issue Date

08/13/1965

Effective Date

01/30/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2010

Case Number

1989001566

Action

Suspension

Discipline Start Date

11/06/1989

Discipline End Date

12/05/1989