LEE A SIMEONE JR DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

SIMEONE

Suffix

JR DPM

Business Name

LEE A SIMEONE JR DPM

Original Issue Date

01/01/1998

Effective Date

12/02/2016

Expiration Date

01/31/2019

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019