SIMON THEO SYMEONIDES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

SIMON THEO

Last Name

SYMEONIDES

Business Name

SIMON THEO SYMEONIDES

Original Issue Date

08/11/1992

Effective Date

08/11/1992

Expiration Date

07/31/2008

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011