JERRYL JOHNSON SIMMONS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

JERRYL

Middle

JOHNSON

Last Name

SIMMONS

Suffix

Business Name

JERRYL JOHNSON SIMMONS MD

Original Issue Date

08/06/2008

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020