SIMONE R HAMPTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039147

License Status

EXPIRED

Business

First Name

SIMONE

Middle

Last Name

HAMPTON

Suffix

Business Name

SIMONE R HAMPTON MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

12/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006