TREVOR JOEL SLOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

TREVOR

Middle

JOEL

Last Name

SLOM

Business Name

TREVOR JOEL SLOM MD

Original Issue Date

05/19/1997

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023