ADAM DAVID SIMONSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062311

License Status

EXPIRED

Business

Title

First Name

ADAM

Middle

DAVID

Last Name

SIMONSEN

Business Name

ADAM DAVID SIMONSEN DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/07/2013