STEFANIE ANNE SIMMONS 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

Title

First Name

STEFANIE

Middle

ANNE

Last Name

SIMMONS

Business Name

STEFANIE ANNE SIMMONS MD

Original Issue Date

01/03/2017

Effective Date

01/03/2017

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017