DANIEL C DE SIMONE JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020718

License Status

EXPIRED

Business

First Name

DANIEL C

Last Name

DE SIMONE JR

Suffix

Business Name

DANIEL C DE SIMONE JR DO

Original Issue Date

05/06/1987

Effective Date

05/06/1987

Expiration Date

06/22/1990

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006