DANIEL JAMES SIMON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

JAMES

Last Name

SIMON

Business Name

DANIEL JAMES SIMON

Original Issue Date

11/29/2010

Effective Date

01/10/2014

Expiration Date

03/01/2016

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/25/2016