SIMON M ADANIN DO - Medical Doctor License in Illinois | # 125047382

SIMON M ADANIN DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047382

License Status

CANCELLED

Business

N

First Name

SIMON

Middle

M

Last Name

ADANIN

Suffix

DO

Business Name

SIMON M ADANIN DO

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006