MARIA L S SIMON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000467

License Status

INACTIVE

Business

First Name

MARIA L S

Last Name

SIMON

Business Name

MARIA L S SIMON

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

09/30/2002

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

03/04/2009