SHIRA SIVAN SIMON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063733

License Status

EXPIRED

Business

First Name

SHIRA

Middle

SIVAN

Last Name

SIMON

Suffix

Business Name

SHIRA SIVAN SIMON MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

08/16/2016