MARY D SIMMONS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038106

License Status

EXPIRED

Business

First Name

MARY

Middle

Last Name

SIMMONS

Business Name

MARY D SIMMONS

Original Issue Date

05/29/1998

Effective Date

05/29/1998

Expiration Date

06/30/2001

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006