ELLEN R KOCHMAN-SIMON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

ELLEN

Middle

Last Name

KOCHMAN-SIMON

Suffix

Business Name

ELLEN R KOCHMAN-SIMON MD

Original Issue Date

11/18/1982

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60175

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2023