FRANK WILSON SIEBERT Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****91

License Status

CANCELLED

Business

First Name

FRANK WILSON

Last Name

SIEBERT

Business Name

FRANK WILSON SIEBERT

Original Issue Date

01/01/1998

Expiration Date

01/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006