BRIAN DANIEL SIMON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081189

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

DANIEL

Last Name

SIMON

Business Name

BRIAN DANIEL SIMON MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

03/24/2024