BRIAN JASON SALZVERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067869

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

JASON

Last Name

SALZVERG

Business Name

BRIAN JASON SALZVERG MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/12/2018