License Directory

Richard Siahaan Md

Expired

Illinois license 036052558

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036052558
Status
Expired (Not Renewed)
First issued
March 26, 1976
License holder
Richard Siahaan Md
Entity type
Individual

Classifications

More from the license record

Current term began
03/26/1976

Contact

Newburgh, NY 12550
New York County