ERIC WILLIAM SIMONS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

CANCELLED

Business

First Name

ERIC

Middle

WILLIAM

Last Name

SIMONS

Suffix

Business Name

ERIC WILLIAM SIMONS MD

Original Issue Date

07/12/1999

Effective Date

07/12/1999

Expiration Date

07/31/2005

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020