STANLEY SIMON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107595

License Status

ACTIVE

Business

First Name

STANLEY

Last Name

SIMON

Business Name

STANLEY SIMON

Original Issue Date

08/02/2002

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

05/26/2023