STANLEY SIMON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

STANLEY

Last Name

SIMON

Business Name

STANLEY SIMON

Original Issue Date

08/05/2002

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2023