SHIRA SIVAN SIMON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

SHIRA

Middle

SIVAN

Last Name

SIMON

Suffix

Business Name

SHIRA SIVAN SIMON MD

Original Issue Date

03/26/2018

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023