SIMON J PILLER MD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191990

License Status

INACTIVE

Business

First Name

SIMON

Middle

Last Name

PILLER

Suffix

Business Name

SIMON J PILLER MD

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/2000

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006