SCOTT D SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099327

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

SIMON

Suffix

Business Name

SCOTT D SIMON MD

Original Issue Date

11/25/1998

Effective Date

11/25/1998

Expiration Date

07/31/2005

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006