JONATHAN SALAS SAGUM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050635

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

SALAS

Last Name

SAGUM

Business Name

JONATHAN SALAS SAGUM MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/28/2008