SIMON SCHRICK-SENASAC DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

SIMON

Last Name

SCHRICK-SENASAC

Suffix

Business Name

SIMON SCHRICK-SENASAC DO

Original Issue Date

07/21/2010

Effective Date

07/06/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014