SIMON M ADANIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047382

License Status

CANCELLED

Business

First Name

SIMON

Middle

Last Name

ADANIN

Suffix

Business Name

SIMON M ADANIN DO

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

GLENVIEW

State

Zip

60025

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006