SIMON J TRUEBLOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067004

License Status

NOT RENEWED

Business

First Name

SIMON J

Last Name

TRUEBLOOD

Suffix

Business Name

SIMON J TRUEBLOOD MD

Original Issue Date

07/21/1983

Effective Date

07/21/1983

Expiration Date

07/31/2008

City

MERRILLVILLE

State

Zip

46410

Ever Disciplined

LastModifiedDate

10/18/2013

Case Number

2001001864

Action

Probation

Discipline Start Date

10/29/2009

Discipline Reason

license restored to indefinite probation for a minimum of three years and fined $1,500.