CHARLA E SIMON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

CHARLA

Middle

Last Name

SIMON

Business Name

CHARLA E SIMON

Original Issue Date

08/16/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023