DAVID ANANI SALLEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064695

License Status

CANCELLED

Business

First Name

DAVID

Middle

ANANI

Last Name

SALLEN

Suffix

Business Name

DAVID ANANI SALLEN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/22/2014