ELIZABETH MOOLAMKUNNAM SIMON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039482

License Status

EXPIRED

Business

First Name

ELIZABETH

Last Name

MOOLAMKUNNAM SIMON

Business Name

ELIZABETH MOOLAMKUNNAM SIMON

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

06/17/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006