EDWIN K SIMON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042166

License Status

EXPIRED

Business

First Name

EDWIN

Middle

Last Name

SIMON

Suffix

Business Name

EDWIN K SIMON MD

Original Issue Date

09/08/2000

Effective Date

09/08/2000

Expiration Date

09/07/2003

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006