NADER N SALLAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071566

License Status

EXPIRED

Business

Title

First Name

NADER

Middle

Last Name

SALLAM

Business Name

NADER N SALLAM MD

Original Issue Date

07/27/2017

Effective Date

07/27/2017

Expiration Date

07/26/2019

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019