SUSAN D SIMON-KALT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102538

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

SIMON-KALT

Suffix

Business Name

SUSAN D SIMON-KALT MD

Original Issue Date

05/25/2000

Effective Date

05/25/2000

Expiration Date

07/31/2005

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

12/19/2022