MICHAEL J SALATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123170

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

SALATA

Suffix

Business Name

MICHAEL J SALATA MD

Original Issue Date

04/14/2009

Effective Date

04/14/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011