PATRICK EDWARD SIMON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054912

License Status

EXPIRED

Business

First Name

PATRICK

Middle

EDWARD

Last Name

SIMON

Suffix

Business Name

PATRICK EDWARD SIMON MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2013

City

WINFIELD

State

Zip

60190

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/07/2013