DAVID M SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074714

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

SIMON

Suffix

Business Name

DAVID M SIMON MD

Original Issue Date

03/28/1987

Effective Date

08/13/2020

Expiration Date

07/31/2023

City

GARY

State

Zip

46403

County

INDIANA

Ever Disciplined

LastModifiedDate

11/30/2023