ELIZABETH MOOLAMKUNNAM SIMON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107835

License Status

ACTIVE

Business

First Name

ELIZABETH

Last Name

MOOLAMKUNNAM SIMON

Business Name

ELIZABETH MOOLAMKUNNAM SIMON

Original Issue Date

09/13/2002

Effective Date

08/15/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

08/15/2023