RAFAH SALLOUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117581

License Status

NOT RENEWED

Business

First Name

RAFAH

Last Name

SALLOUM

Suffix

Business Name

RAFAH SALLOUM MD

Original Issue Date

02/02/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011