Dr. DANIEL WAYNE SIMON
Idaho M-11031 Canceled
This Idaho license was held by Dr. DANIEL WAYNE SIMON. The license is no longer active. It was granted on 06/15/2010 and expired on 08/01/2012
LICENSE DETAILS
- License Number: M-11031
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/15/2010 (about 15 years ago)
- Expiry Date: 08/01/2012 (almost 13 years ago)
LOCATIONS
A Residential
96 Union Street Montclair NJ 07042