GERALD J SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

GERALD J

Last Name

SIMON

Suffix

Business Name

GERALD J SIMON MD

Original Issue Date

08/25/1983

Effective Date

08/25/1983

Expiration Date

07/31/2008

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020