ROBERT SALEM SALK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

ROBERT SALEM

Last Name

SALK

Business Name

ROBERT SALEM SALK

Original Issue Date

01/01/1998

Effective Date

10/25/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016