DANIEL PATRICK SIMON MD - Medical Doctor License in Illinois | # 125070062

DANIEL PATRICK SIMON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070062

License Status

EXPIRED

Business

N

Title

MD

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

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

10/11/2022