MARY D SIMMONS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

SIMMONS

Business Name

MARY D SIMMONS

Original Issue Date

06/29/2001

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023