SUSAN D SIMON-KALT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

CANCELLED

Business

First Name

SUSAN

Middle

Last Name

SIMON-KALT

Suffix

Business Name

SUSAN D SIMON-KALT MD

Original Issue Date

06/15/2000

Effective Date

06/15/2000

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/21/2022