ELIAS SALLOUM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062468

License Status

CANCELLED

Business

Title

First Name

ELIAS

Last Name

SALLOUM

Business Name

ELIAS SALLOUM MD

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

07/31/2015

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014