ROGER ALAN SIMON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017273

License Status

NOT RENEWED

Business

First Name

ROGER ALAN

Last Name

SIMON

Suffix

DDS

Business Name

ROGER ALAN SIMON DDS

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005