ELISABETH A SIMON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021315

License Status

EXPIRED

Business

First Name

ELISABETH

Middle

Last Name

SIMON

Business Name

ELISABETH A SIMON

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006