SUSAN D SIMON-KALT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034570

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

SIMON-KALT

Suffix

Business Name

SUSAN D SIMON-KALT MD

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/17/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006