PHILIP GANES SIEBERT Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003698

License Status

INACTIVE

Business

First Name

PHILIP GANES

Last Name

SIEBERT

Business Name

PHILIP GANES SIEBERT

Original Issue Date

06/22/1984

Effective Date

01/12/2021

Expiration Date

01/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/02/2022