MICHAEL ALLAN SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052193

License Status

NOT RENEWED

Business

First Name

MICHAEL ALLAN

Last Name

SIMON

Suffix

Business Name

MICHAEL ALLAN SIMON MD

Original Issue Date

12/19/1975

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021