STANLEY SIMON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038105

License Status

EXPIRED

Business

First Name

STANLEY

Last Name

SIMON

Business Name

STANLEY SIMON

Original Issue Date

05/29/1998

Effective Date

05/29/1998

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

09/22/2006