PHILIP L SIMONIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

SIMONIAN

Suffix

Business Name

PHILIP L SIMONIAN MD

Original Issue Date

09/11/2000

Effective Date

09/11/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006