KIM BOLAN SIMIC Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020547

License Status

EXPIRED

Business

First Name

KIM BOLAN

Last Name

SIMIC

Business Name

KIM BOLAN SIMIC

Original Issue Date

04/30/1987

Effective Date

04/30/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006