MIGUEL ALFREDO SALAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050450

License Status

CANCELLED

Business

First Name

MIGUEL

Middle

ALFREDO

Last Name

SALAS

Suffix

Business Name

MIGUEL ALFREDO SALAS MD

Original Issue Date

07/08/2005

Effective Date

07/08/2005

Expiration Date

07/07/2008

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006