MARK CHALOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050384

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

CHALOM

Suffix

Business Name

MARK CHALOM MD

Original Issue Date

11/26/1974

Effective Date

11/26/1974

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006