DANIEL PATRICK SIMON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070062

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

PATRICK

Last Name

SIMON

Business Name

DANIEL PATRICK SIMON MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

10/11/2022