SALIM SHACKOUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119015

License Status

ACTIVE

Business

Title

First Name

SALIM

Last Name

SHACKOUR

Business Name

SALIM SHACKOUR MD

Original Issue Date

07/19/2007

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

12/10/2023