MICHAEL B SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

SIMON

Business Name

MICHAEL B SIMON MD

Original Issue Date

07/26/2012

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017