FEREYDOON M SHALOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057274

License Status

NOT RENEWED

Business

First Name

FEREYDOON M

Last Name

SHALOM

Suffix

Business Name

FEREYDOON M SHALOM MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006