LLEWELLYN L SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

LLEWELLYN

Middle

Last Name

SIMON

Suffix

Business Name

LLEWELLYN L SIMON MD

Original Issue Date

11/03/1995

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017