ELLEN R KOCHMAN-SIMON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012780

License Status

EXPIRED

Business

First Name

ELLEN

Middle

Last Name

KOCHMAN-SIMON

Suffix

Business Name

ELLEN R KOCHMAN-SIMON MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006