CAROL ANN SIMONS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000164

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Last Name

SIMONS

Business Name

CAROL ANN SIMONS

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

04/14/1979

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006