ADAM J SIEGEL Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

SIEGEL

Business Name

ADAM J SIEGEL

Original Issue Date

04/23/2015

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019