SIMON J TRUEBLOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

SIMON J

Last Name

TRUEBLOOD

Suffix

Business Name

SIMON J TRUEBLOOD MD

Original Issue Date

01/06/1993

Effective Date

01/06/1993

Expiration Date

07/31/1999

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/29/2009

Case Number

2001001864

Action

Suspension

Discipline Start Date

10/29/2009

Discipline Reason

due to a sister-state discipline.