LAURA J SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045907

License Status

NOT RENEWED

Business

First Name

LAURA J

Last Name

SIMON

Suffix

Business Name

LAURA J SIMON MD

Original Issue Date

07/31/1972

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021