BLAIR ALEXANDER SIMON MD Medical Doctor License verification

Business Entity

CLOSED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072138

License Status

CLOSED

Business

Title

First Name

BLAIR

Middle

ALEXANDER

Last Name

SIMON

Business Name

BLAIR ALEXANDER SIMON MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/25/2018