MICHAEL JOSEPH SIMON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

MICHAEL JOSEPH

Last Name

SIMON

Business Name

MICHAEL JOSEPH SIMON

Original Issue Date

03/10/1986

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2024