MARK THOMAS SIMON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

MARK THOMAS

Last Name

SIMON

Suffix

Business Name

MARK THOMAS SIMON MD

Original Issue Date

07/25/1997

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023