EDWIN K SIMON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109810

License Status

ACTIVE

Business

First Name

EDWIN

Middle

Last Name

SIMON

Suffix

Business Name

EDWIN K SIMON MD

Original Issue Date

07/30/2003

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

06/24/2023