AMY LIN SIMANTEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LIN

Last Name

SIMANTEL

Suffix

Business Name

AMY LIN SIMANTEL MD

Original Issue Date

02/11/2004

Effective Date

07/22/2014

Expiration Date

07/31/2017

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017