SIMON MORADIAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067736

License Status

CANCELLED

Business

Title

First Name

SIMON

Last Name

MORADIAN

Business Name

SIMON MORADIAN MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Plastic Surgery - Integrated

Ever Disciplined

LastModifiedDate

06/18/2019