DANIEL JAMES SIMON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003891

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

JAMES

Last Name

SIMON

Business Name

DANIEL JAMES SIMON

Original Issue Date

09/23/2010

Effective Date

01/10/2014

Expiration Date

03/01/2016

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/25/2016