License holder summary

Dr. DANIEL WAYNE SIMON is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. DANIEL WAYNE SIMON is 96 Union Street Montclair NJ 07042. This licensed professional license is not current. The license was granted 06/15/2010 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

Dr. DANIEL WAYNE SIMON
Board Of Medicine
License number
M-11031
Date granted
06/15/2010
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
96 Union Street Montclair NJ 07042
idaholicensing.com
ID 48354615
LAST UPDATED 2024-04-18 04:46:16 UTC

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