ELIAS SALIM KHAZOUM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076350

License Status

CANCELLED

Business

Title

First Name

ELIAS

Middle

SALIM

Last Name

KHAZOUM

Business Name

ELIAS SALIM KHAZOUM DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/05/2020