BLAIR TIBURCIO SIMEON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019036521

License Status

ACTIVE

Business

Title

DMD

First Name

BLAIR

Middle

TIBURCIO

Last Name

SIMEON

Business Name

BLAIR TIBURCIO SIMEON DMD

Original Issue Date

09/16/2025

Effective Date

09/16/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2025