Idaho
Division of Occupational and Professional Licenses
PHILIP S. SIEGEL
Board Of Medicine
License number
M-4405
Date granted
10/24/1981
Date expires
06/01/1972
Class
Board Of Medicine
Status
Canceled
Address
2278-b Sierra Boulevard Sacramento CA 95825
idaholicensing.com
ID 48347453
LAST UPDATED 2024-03-25 05:34:17 UTC
LAST UPDATED 2024-03-25 05:34:17 UTC
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