SAM S SIMOS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

First Name

SAM S

Last Name

SIMOS

Suffix

DDS

Business Name

SAM S SIMOS DDS

Original Issue Date

04/14/1992

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2024