RICHARD CODY SIMON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079815

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

CODY

Last Name

SIMON

Business Name

RICHARD CODY SIMON MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Pathology - Anatomic and Clinical

Ever Disciplined

LastModifiedDate

10/17/2024