KIMBERLY ANN SIMON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

SIMON

Business Name

KIMBERLY ANN SIMON

Original Issue Date

09/03/2015

Effective Date

01/11/2026

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60462

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/11/2026