JERRYL JOHNSON SIMMONS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

JERRYL

Middle

JOHNSON

Last Name

SIMMONS

Suffix

Business Name

JERRYL JOHNSON SIMMONS MD

Original Issue Date

08/15/1985

Effective Date

08/15/1985

Expiration Date

07/31/1999

City

DOLTON

State

Zip

60419

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020