DAVID ANANI SALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141939

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ANANI

Last Name

SALLEN

Suffix

Business Name

DAVID ANANI SALLEN MD

Original Issue Date

11/02/2016

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023