MICHAEL B SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130587

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

SIMON

Business Name

MICHAEL B SIMON MD

Original Issue Date

06/19/2012

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

MELVILLE

State

Zip

11747

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017